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FIVE POINTS PRIMARY CARE
NPI 1245858950
Clinic/Center - Primary Care in Mansfield, OH

Active since July 09, 2020CLIA 36D2121949 · Waiver
200 PARK AVE W, MANSFIELD, OH 44902(419) 522-2239(419) 525-6723 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Five Points Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE POINTS PRIMARY CARE (NPI 1245858950) is a healthcare organization registered as a primary care in Mansfield, Ohio and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245858950
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Location Address200 PARK AVE WMansfield, OH 44902-1608
Mailing Address1404 Park Ave W, Ste 2Mansfield, OH 44906-2633 · (419) 522-6191
Phone(419) 522-2239
Fax(419) 525-6723
Organization SubpartNo
Authorized OfficialPeggy AndersonCeo · (419) 522-6191
Enumeration DateJuly 9, 2020
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1245858950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
200 PARK AVE W, Mansfield, OH 44902
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Other Names 1

Doing Business AsFive Points Primary Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2121949

Five Points Primary Care · Mansfield, OH
Active · expires Nov 15, 2026
CLIA Number36D2121949
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorSheng Liu
Laboratory Phone(419) 522-2239
Laboratory LocationFive Points Primary Care200 Park Avenue West, Mansfield, OH 44902
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER TODD YOHN M.D.
Family Medicine
200 PARK AVE W
MANSFIELD, OH 44902
Richland County (419) 522-6191
THIRD STREET COMMUNITY CLINIC INC
Clinic/Center (Primary Care)
200 PARK AVE W
MANSFIELD, OH 44902
Richland County (419) 522-2239
THIRD STREET COMMUNITY CLINIC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
200 PARK AVE W
MANSFIELD, OH 44902
Richland County (419) 522-2239
NICOLE MARIE WILSON NP
Nurse Practitioner (Family)
200 PARK AVE W
MANSFIELD, OH 44902
Richland County (419) 522-2239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Third Street Community Clinic Inc's NPI number?

The NPI number for Third Street Community Clinic Inc is 1245858950. It was assigned to this organization in the NPPES registry on July 9, 2020. The provider is doing business as Five Points Primary Care.

Where is Third Street Community Clinic Inc located?

Third Street Community Clinic Inc is located at 200 Park Ave W, Mansfield, OH 44902. The listed phone number is (419) 522-2239.

What is Third Street Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Third Street Community Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2121949) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Third Street Community Clinic Inc accept?

Health plans from CareSource and Molina Healthcare list Third Street Community Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Third Street Community Clinic Inc was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.