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MALABAR CARE CONNECT
NPI 1285380550
Clinic/Center - Primary Care in Mansfield, OH

Active since February 25, 2022CLIA 36D2169444 · Waiver
205 W COOK RD, MANSFIELD, OH 44907(567) 309-7333 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malabar Care Connect NPPES

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

MALABAR CARE CONNECT (NPI 1285380550) is a healthcare organization registered as a primary care in Mansfield, Ohio and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285380550
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Location Address205 W COOK RDMansfield, OH 44907-2405
Mailing Address1404 Park Ave W, Ste 2Mansfield, OH 44906-2633 · (419) 522-6191
Phone(567) 309-7333
Organization SubpartNo
Authorized OfficialPeggy AndersonCeo · (419) 526-7880
Enumeration DateFebruary 25, 2022
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1285380550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
205 W COOK RD, Mansfield, OH 44907
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Other Names 1

Doing Business AsMalabar Care Connect

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 36D2169444

Malabar Care Connect · Mansfield, OH
Active · expires Jul 18, 2027
CLIA Number36D2169444
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorSheng Liu
Laboratory Phone(419) 522-6191
Laboratory LocationMalabar Care Connect205 W Cook Rd, Mansfield, OH 44907
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.

THIRD STREET COMMUNITY CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
205 W COOK RD
MANSFIELD, OH 44907
Richland County (419) 522-6191
MRS. HOLLIE ANN SNOW SLP
Speech-Language Pathologist
205 W COOK RD
MANSFIELD, OH 44907
Richland County (419) 525-6374
SARAH LAUX MACE
Occupational Therapist
205 W COOK RD
MANSFIELD, OH 44907
Richland County (419) 545-6374
PENNY FARST
Technician/Technologist (Optician)
205 W COOK RD
MANSFIELD, OH 44907
Richland County (419) 522-6191

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 1285380550. It was assigned to this organization in the NPPES registry on February 25, 2022. The provider is doing business as Malabar Care Connect.

Where is Third Street Community Clinic Inc located?

Third Street Community Clinic Inc is located at 205 W Cook Rd, Mansfield, OH 44907. The listed phone number is (567) 309-7333.

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 36D2169444) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.