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

NPI Status: Active since February 25, 2022

Contact Information

205 W COOK RD
MANSFIELD, OH
ZIP 44907
Phone: (567) 309-7333

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 36D2169444
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 07-18-2027

About MALABAR CARE CONNECT

This page provides the complete NPI Profile along with additional information for Malabar Care Connect, a primary care provider established in Mansfield, Ohio operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1285380550 assigned on February 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Malabar Care Connect. The authorized official of this NPI record is Peggy Anderson (Ceo)

NPI
1285380550
Provider Legal Name
THIRD STREET COMMUNITY CLINIC INC
Other Organization Name
MALABAR CARE CONNECT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 W COOK RD MANSFIELD, OH 44907
Location Phone
(567) 309-7333
Mailing Address
1404 PARK AVE W STE 2 MANSFIELD, OH 44906
Mailing Phone
(419) 522-6191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2022
Last Update Date
10-29-2024
Code Navigator

A primary care provider (PCP) like Malabar Care Connect sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
33336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PEGGY ANDERSON

Authorized Official Title
CEO
Authorized Official Phone
(419) 526-7880

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2169444
Facility Type
Federally Qualified Health Center
Certificate Effective Date
July 19, 2025
Certificate Expiration Date
July 18, 2027
Laboratory Director
SHENG LIU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Malabar Care Connect to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285380550, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 6 + 8 + 0 + 5 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1285380550.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Speech-Language Pathologist
205 W COOK RD
MANSFIELD, OH 44907
Occupational Therapist
205 W COOK RD
MANSFIELD, OH 44907
Clinic/Center (Federally Qualified Health Center (FQHC))
205 W COOK RD
MANSFIELD, OH 44907
Technician/Technologist (Optician)
205 W COOK RD
MANSFIELD, OH 44907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285380550, enumerated as an "organization" on February 25, 2022.

The provider is located at 205 W COOK RD MANSFIELD, OH 44907 and the phone number is (567) 309-7333.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.