Children’s hospital · OH
THIRD STREET COMMUNITY CLINIC
- 0Registered locations
- 1Associated locations
- 1Contract pharmacies
- 1With no end date
- 1 April 2020In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “THIRD STREET COMMUNITY CLINIC” (340B ID CH05711K), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH05711K
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2020
- Certification date
- 17 February 2026
- Record last edited
- 13 May 2026
Identifiers
- 340B ID
- CH05711K
- Entity type as filed
- CH
- Site ID
- BPS-H80-029668
- Grant number
- H80CS00581
- NPI
- 1306499314 (OH), 1497485973 (OH)
205 W. Cook Road UNIT Suite A, Mansfield OH 44907
Associated locations
| Organization | Address | Where |
|---|---|---|
| THIRD STREET COMMUNITY CLINIC | 205 W. Cook Road UNIT Suite A | Mansfield OH 44907 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| GENOA HEALTHCARE LLC | MANSFIELD, OH | 1 April 2024 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.