THIRD STREET COMMUNITY CLINIC, INC.
NPI 1710517339
Clinic/Center - Federally Qualified Health Center (FQHC) in Ashland, OH

Active since January 23, 2020
431 E 9TH ST, ASHLAND, OH 44805(419) 289-1430(419) 525-6723 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Jul 22, 2020, Jan 23, 2020 (3 updates tracked since 2020).

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 1710517339), doing business as 9th Street Dental Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Ashland, Ohio and active in the NPI registry since January 2020. The organization lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710517339
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHIRD STREET COMMUNITY CLINIC, INC.
Location Address431 E 9TH STAshland, OH 44805-1903
Mailing Address1404 Park Ave W Ste 2Ontario, OH 44906-2719 · (419) 522-6191 · Fax (419) 525-6723
Fax(419) 525-6723
Organization SubpartNo
Authorized OfficialPeggy AndersonCeo · (419) 526-7880
Enumeration DateJanuary 23, 2020
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1710517339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
431 E 9TH ST, Ashland, OH 44805

Other Names 1

Doing Business As9th Street Dental Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

52

Medicare 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 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner19
Clinical Social Worker10
Dentist5
Mental Health Counselor5
Optometry5
Family Practice2
Psychiatry2
Certified Nurse Midwife (CNM)1
3 other specialties3

Nearest to this location (20)

See all 52
Clinical Social Worker
NPI 1780278051
2233 ROCKY LN
Ashland, OH 44805
(419) 281-3716
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1225539463
1268 N STEWART RD
Mansfield, OH 44903
(419) 989-1651
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1982316949
200 PARK AVE W
Mansfield, OH 44902
(419) 522-2239
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1063945533
200 PARK AVE W
Mansfield, OH 44902
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1104752120
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1003594623
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1033961636
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1093179236
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1437578804
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Dentist
NPI 1619287950
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS14 mi
Podiatry
NPI 1225293020
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Dentist
NPI 1114239183
600 WEST THIRD STREET
Mansfield, OH 44906
(419) 522-6191
✔ PECOS14 mi
Nurse Practitioner
NPI 1982410528
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1710106984
600 W. THIRD STREET
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1457733867
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1750784443
741 SCHOLL RD
Mansfield, OH 44907
(419) 756-1717
✔ PECOS15 mi
Dentist
NPI 1225527732
63 E MAIN ST
New London, OH 44851
(419) 929-1544
✔ PECOS15 mi
Clinical Social Worker
NPI 1619123288
1080 LEXINGTON AVE
Mansfield, OH 44907
(419) 756-9975
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1932735438
2775 STATE ROUTE 39
Shelby, OH 44875
(419) 747-3322
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1780806208
2285 BENDEN DR
Wooster, OH 44691
(330) 264-9029
✔ PECOS21 mi
See all 52 clinicians

Source: 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 1710517339. It was assigned to this organization in the NPPES registry on January 23, 2020. The provider is doing business as 9th Street Dental Center.

Where is Third Street Community Clinic, Inc. located?

Third Street Community Clinic, Inc. is located at 431 E 9th St, Ashland, OH 44805. The listed phone number is (419) 289-1430.

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 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 Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and UnitedHealthcare 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 May 19, 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.