| Three Lower Counties Community Services, Inc. | |
|
30577 Camp Road Westover MD 21871 | |
| (410) 749-1015 | |
| (410) 749-1020 |
| Full Name | Three Lower Counties Community Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 30577 Camp Road, Westover, Maryland |
| Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) |
| Authorized Official Contact | 4107491015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Lower Counties Community Services, Inc. Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | Three Lower Counties Community Services, Inc. 30577 Camp Road Westover MD 21871 Ph: (410) 749-1015 |
| NPI Number | 1790148807 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 09/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790148807 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |