THIRD STREET FAMILY HEALTH SERVICES
NPI 1548594526
Clinic/Center - Federally Qualified Health Center (FQHC) in Mansfield, OH

Q: What is Third Street Dental Mobile Van's NPI number?

The NPI number for Third Street Dental Mobile Van is 1548594526. It was assigned to this organization in the NPPES registry on September 24, 2009. The provider is doing business as Third Street Family Health Services.

Q: What is Third Street Dental Mobile Van's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 24, 2009CLIA 36D0880758 · Microscopy

600 W 3RD ST, MANSFIELD, OH 44906(419) 522-6191(419) 526-4911 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Third Street Family Health Services NPPES

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

THIRD STREET FAMILY HEALTH SERVICES (NPI 1548594526) is a healthcare organization registered as a federally qualified health center (fqhc) in Mansfield, Ohio and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through December 16, 2027 and lists Peggy Anderson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548594526

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHIRD STREET DENTAL MOBILE VAN

Location Address600 W 3RD STMansfield, OH 44906-2633

Mailing Address600 W 3rd StMansfield, OH 44906-2633 · (419) 522-6191 · Fax (419) 526-4911

Phone(419) 522-6191

Fax(419) 526-4911

Organization SubpartYesParent: Third Street Community Clinic

Authorized OfficialPeggy AndersonCfo · (419) 522-6191

Enumeration DateSeptember 24, 2009

Last NPPES UpdateMay 26, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1548594526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

600 W 3RD ST, Mansfield, OH 44906

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Other Names 1

Doing Business AsThird Street Family Health Services

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 for Provider-Performed Microscopy Procedures (PPMP) 36D0880758

Third Street Family Health Services · Mansfield, OH

Active · expires Dec 16, 2027

CLIA Number36D0880758

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 17, 2025

Certificate Expiration DateDecember 16, 2027

Laboratory DirectorSheng Liu

Laboratory Phone(419) 522-6191

Laboratory LocationThird Street Family Health Services600 W Third Street, Mansfield, OH 44906

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

AMANDA NICOLE LILLY CNP

Nurse Practitioner (Family)