Third Street Community Clinic INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Marion, OH. Organization (NPI-2).
NPI number1861170565
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1861170565
- Entity type
- Organization (NPI-2)
- Legal business name
- Third Street Community Clinic INC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2023
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Community Counseling & Wellness Centers-Marion (Doing Business As)
Practice location
320 Executive DrMarion, OH 43302-6310
Phone 419-522-6191
Mailing address
1404 Park Ave WSuite 2
Mansfield, OH 44906-2633
Phone 419-522-6191
Authorized official
Peggy Anderson
Ceo
4195267880
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All 6 Federally Qualified Health Center (FQHC) providers in Marion · All 1,541 providers in Marion
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