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SHELBY HEALTH AND WELLNESS CENTER
NPI 1548916893
Clinic/Center - Primary Care in Shelby, OH

Active since February 25, 2022CLIA 36D2121945 · Waiver
31 E MAIN ST, SHELBY, OH 44875(419) 522-6191 Get Directions Write a Review

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

About Shelby Health And Wellness Center NPPES

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

SHELBY HEALTH AND WELLNESS CENTER (NPI 1548916893) is a healthcare organization registered as a primary care in Shelby, Ohio and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548916893
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Location Address31 E MAIN STShelby, OH 44875-1262
Mailing Address1404 Park Ave W, Ste 2Mansfield, OH 44906-2633 · (419) 522-6191
Phone(419) 522-6191
Organization SubpartYes
Authorized OfficialPeggy AndersonCeo · (419) 526-7880
Enumeration DateFebruary 25, 2022
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1548916893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
31 E MAIN ST, Shelby, OH 44875
Open in Google Maps ↗

Other Names 1

Doing Business AsShelby Health And Wellness Center

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 36D2121945

Shelby Health And Wellness · Shelby, OH
Active · expires Nov 15, 2026
CLIA Number36D2121945
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorSheng Liu
Laboratory Phone(419) 525-6732
Laboratory LocationShelby Health And Wellness31 E Main Street, Shelby, OH 44875
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

NATASHA RINEHART CNP
Nurse Practitioner (Family)
31 E MAIN ST
SHELBY, OH 44875
Richland County (419) 522-6191
ABHINAV BHATNAGAR
Dentist
31 E MAIN ST
SHELBY, OH 44875
Richland County (419) 525-6797
DR. VIRGILIO MILLADO TONGSON MD
Specialist
31 E MAIN ST, STE 4
SHELBY, OH 44875
Richland County (419) 347-8442
OHIO CANCER SPECIALISTS
Internal Medicine (Hematology & Oncology)
31 E MAIN ST, SUITE 2
SHELBY, OH 44875
Richland County (419) 342-2775
THIRD STREET COMMUNITY CLINIC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
31 E MAIN ST
SHELBY, OH 44875
Richland County (419) 525-6795
MR. DAVID J ETZEL CNP
Nurse Practitioner (Family)
31 E MAIN ST
SHELBY, OH 44875
Richland County (419) 525-6795

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 1548916893. It was assigned to this organization in the NPPES registry on February 25, 2022. The provider is doing business as Shelby Health And Wellness Center.

Where is Third Street Community Clinic Inc located?

Third Street Community Clinic Inc is located at 31 E Main St, Shelby, OH 44875. The listed phone number is (419) 522-6191.

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 36D2121945) 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.