Third Street Community Clinic, Inc
NPI 1558609990ActiveOrganization· Obstetrics & Gynecology· Mansfield, OH
Obstetrics & Gynecology in Mansfield, Ohio, registered in NPPES in January 2013, part of Third Street Community Clinic, Inc. The authorized official on file is Peggy Anderson, CEO, Ceo.
Overview
| NPI | 1558609990 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Third Street Community Clinic, Inc |
| NPI issued | Jan 18, 2013 |
| Last updated in NPPES | May 26, 2022 |
| Certified by provider | May 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 35096570 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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