| Three Lower Counties Community Services, Inc. | |
|
1201 Old Ocean City Rd Salisbury MD 21804-4560 | |
| (443) 754-1675 | |
| Not Available |
| Full Name | Three Lower Counties Community Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Old Ocean City Rd, Salisbury, 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. 1201 Old Ocean City Rd Salisbury MD 21804-4560 Ph: (443) 754-1675 |
| NPI Number | 1275405714 |
|---|---|
| Provider Enumeration Date | 09/23/2025 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Medicare PECOS PAC ID | 3678484300 |
|---|---|
| Medicare Enrollment ID | O20251003003451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275405714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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