THIRD STREET COMMUNITY CLINIC INC
NPI 1811364706
Clinic/Center - Federally Qualified Health Center (FQHC) in Shelby, 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 1811364706), doing business as Shelby Health And Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Shelby, Ohio and active in the NPI registry since August 2015. The organization lists Peggy Anderson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 3 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 1811364706. It was assigned to this organization in the NPPES registry on August 26, 2015. 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) 525-6795.
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 3 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 3 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 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.
# Third Street Community Clinic Inc · NPI 1811364706
Federally Qualified Health Center (FQHC) organization in Shelby, Ohio. Organization record, active in the CMS NPPES registry since August 26, 2015.
## Identity
- **NPI:** 1811364706 (Entity type: Organization)
- **Enumerated:** August 26, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Shelby Health and Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Peggy Anderson, CEO
## Practice location
- **Address:** 31 E MAIN ST, Shelby, OH 44875-1262
- **Phone:** (419) 525-6795
## 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 3 within 10 miles; [full list](https://npiprofile.com/npi/1811364706/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811364706) · Data from the CMS NPPES public registry.