BUCYRUS HEALTH AND WELLNESS CENTER
NPI 1790431054
Clinic/Center - Primary Care in Bucyrus, OH

Active since February 25, 2022CLIA 36D2170692 · Waiver
2458 STETZER RD, STE A, BUCYRUS, OH 44820(419) 834-8889 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bucyrus Health And Wellness Center NPPES

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

BUCYRUS HEALTH AND WELLNESS CENTER (NPI 1790431054) is a healthcare organization registered as a primary care in Bucyrus, Ohio and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790431054
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Location Address2458 STETZER RD, STE ABucyrus, OH 44820-2066
Mailing Address1404 Park Ave W, Ste 2Mansfield, OH 44906-2633 · (419) 522-6191
Organization SubpartNo
Authorized OfficialPeggy AndersonCeo · (419) 526-7880
Enumeration DateFebruary 25, 2022
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1790431054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
2458 STETZER RD, Bucyrus, OH 44820

Other Names 1

Doing Business AsBucyrus Health And Wellness Center

Accepted 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 36D2170692

Bucyrus Health And Wellness · Bucyrus, OH
Active · expires Aug 15, 2027
CLIA Number36D2170692
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorSheng Liu
Laboratory Phone(419) 522-6191
Laboratory LocationBucyrus Health And Wellness2458 Steltzer Rd Suite A, Bucyrus, OH 44820
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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.

Clinic/Center
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Mental Health)
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Addiction (Substance Use Disorder))
2458 STETZER RD
BUCYRUS, OH 44820
Licensed Practical Nurse
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Addiction (Substance Use Disorder))
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Mental Health)
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Mental Health)
2458 STETZER RD
BUCYRUS, OH 44820
Counselor (Mental Health)
2458 STETZER RD
BUCYRUS, OH 44820

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 1790431054. It was assigned to this organization in the NPPES registry on February 25, 2022. The provider is doing business as Bucyrus Health And Wellness Center.

Where is Third Street Community Clinic Inc located?

Third Street Community Clinic Inc is located at 2458 Stetzer Rd Ste A, Bucyrus, OH 44820. The listed phone number is (419) 834-8889.

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 36D2170692) is associated with this NPI, valid through August 15, 2027. 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 with the weekly NPPES data releases published by CMS.