NPIMap

Third Street Community Clinic, Inc.

A Medicare group practice based in Mansfield, OH: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 2365423977), with 67 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365423977The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
OH
Enrollments
22
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 6 places

Enrollment records 22

Enrollment IDStateProvider typeNPI
O20100810000138 OH Part A Provider - Federally Qualified Health Center (FQHC) 1649599119
O20040528000770 OH Part B Supplier - Clinic/Group Practice 1649599119
O20080307000494 OH Part A Provider - Federally Qualified Health Center (FQHC) 1336252519
O20200402002948 OH Part A Provider - Federally Qualified Health Center (FQHC) 1104461805
O20200520001554 OH Part B Supplier - Clinic/Group Practice 1629620109
O20200420003356 OH Part B Supplier - Clinic/Group Practice 1306499314
O20200128002437 OH Part A Provider - Federally Qualified Health Center (FQHC) 1629620109
O20191211000542 OH Part A Provider - Federally Qualified Health Center (FQHC) 1306499314
O20201022001123 OH Part A Provider - Federally Qualified Health Center (FQHC) 1710517339
O20141020001750 OH Part B Supplier - Clinic/Group Practice 1720407554
O20140718001574 OH Part A Provider - Federally Qualified Health Center (FQHC) 1720407554
O20130813000355 OH Part A Provider - Federally Qualified Health Center (FQHC) 1427492271
O20160506000486 OH Part B Supplier - Clinic/Group Practice 1811364706
O20160226000625 OH Part A Provider - Federally Qualified Health Center (FQHC) 1811364706
O20161212001804 OH Part B Supplier - Clinic/Group Practice 1972053452
O20161102000963 OH Part A Provider - Federally Qualified Health Center (FQHC) 1972053452
O20230712000126 OH Part A Provider - Federally Qualified Health Center (FQHC) 1669158838
O20250311002571 OH Part B Supplier - Pharmacy 1497485973
O20230807001755 OH Part B Supplier - Clinic/Group Practice 1669158838
O20230726001766 OH Part A Provider - Federally Qualified Health Center (FQHC) 1861170565
O20231215002895 OH Part B Supplier - Clinic/Group Practice 1861170565
O20260410003485 OH Part B Supplier - Clinic/Group Practice 1710517339

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 67

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (29).

Sources for this page