NPI | 1447619788 |
---|---|
Doing Business As | THIRD STREET FAMILY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | PEGGY ANDERSON CEO 419-522-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
261QP1100X Clinic/Center Podiatric | |
3336C0002X Pharmacy Clinic Pharmacy | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2022-05-26 |