THIRD STREET COMMUNITY CLINIC, INC.
NPI 1649599119
Clinic/Center - Federally Qualified Health Center (FQHC) in Mansfield, OH
About Third Street Community Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIRD STREET COMMUNITY CLINIC, INC. (NPI 1649599119), doing business as Cornerstone Ob/gyn, is a healthcare organization registered as a federally qualified health center (fqhc) in Mansfield, Ohio and active in the NPI registry since May 2010. The organization lists Peggy Anderson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Third Street Community Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Third Street Community Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1649599119. It was assigned to this organization in the NPPES registry on May 24, 2010. The provider is doing business as Cornerstone OB/GYN and Third Street OB/GYN.
Where is Third Street Community Clinic, Inc. located?
Third Street Community Clinic, Inc. is located at 770 Balgreen Drive Suite 207, Mansfield, OH 44906. The listed phone number is (419) 522-6800.
What is Third Street Community Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Third Street Community Clinic, Inc. enrolled in Medicare?
Yes. Third Street Community Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Third Street Community Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 11 Medicare specialties reassign their Medicare billing to Third Street Community Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (19), Clinical Social Worker (10) and Dentist (5). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Third Street Community Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers 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 June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Third Street Community Clinic, Inc. · NPI 1649599119
Federally Qualified Health Center (FQHC) organization in Mansfield, Ohio. Organization record, active in the CMS NPPES registry since May 24, 2010.
## Identity
- **NPI:** 1649599119 (Entity type: Organization)
- **Enumerated:** May 24, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Cornerstone OB/GYN (Doing Business As); Third Street OB/GYN (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Peggy Anderson, CEO
## Practice location
- **Address:** 770 BALGREEN DRIVE, SUITE 207, Mansfield, OH 44906-2633
- **Phone:** (419) 522-6800 · **Fax:** (419) 522-6816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Clinical Social Worker (10), Dentist (5); 1 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1649599119/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
- **Other identifiers:** Medicaid 3111957 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1649599119) · Data from the CMS NPPES public registry.