Third Street Community Clinic, Inc.
NPI 1306499314 · Federally Qualified Health Center (FQHC) · Mansfield, OH
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Third Street Community Clinic, Inc. is a Federally Qualified Health Center (FQHC) organization in Mansfield, OH (NPI 1306499314).
Provider details
- NPI number
- 1306499314
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peggy Anderson, Ceo(419) 526-7880
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Malabar Care Connect
- Doing business as
- Malabar Care Connect
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Third Street Community Clinic, Inc.'s NPI number?
- Third Street Community Clinic, Inc.'s National Provider Identifier (NPI) is 1306499314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Third Street Community Clinic, Inc.?
- Third Street Community Clinic, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Third Street Community Clinic, Inc. located?
- Third Street Community Clinic, Inc.'s practice location on file with NPPES is 205 W Cook Rd, Mansfield, OH 44907-2405.
- What is Third Street Community Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Third Street Community Clinic, Inc. is (419) 522-6191.
- Does Third Street Community Clinic, Inc. accept Medicare?
- Third Street Community Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Third Street Community Clinic, Inc.?
- The authorized official listed on Third Street Community Clinic, Inc.'s NPPES record is Peggy Anderson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Third Street Community Clinic, Inc.'s NPI active?
- Yes — Third Street Community Clinic, Inc.'s NPI (1306499314) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.