| Three Lower Counties Community Services, Inc. | |
|
1817 Old Virginia Rd Pocomoke City MD 21851-3049 | |
| (410) 651-4040 | |
| (888) 843-8455 |
| Full Name | Three Lower Counties Community Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1817 Old Virginia Rd, Pocomoke City, Maryland |
| Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) |
| Authorized Official Contact | 4107491015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 1817 Old Virginia Rd Pocomoke City MD 21851-3049 Ph: (410) 651-4040 |
| NPI Number | 1326769670 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 08/07/2025 |
| Medicare PECOS PAC ID | 3678484300 |
|---|---|
| Medicare Enrollment ID | O20221201001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326769670 | NPI | - | NPPES |
| 119591309 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Blue Heron Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 10th St, Ste 101, Pocomoke City, MD 21851 Phone: 410-957-3005 Fax: 410-957-0550 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 10th St, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 |