| Three Lower Counties Community Services Inc | |
|
31481 Old Ocean City Rd Salisbury MD 21804-1810 | |
| (410) 677-3936 | |
| Not Available |
| Full Name | Three Lower Counties Community Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31481 Old Ocean City Rd, Salisbury, Maryland |
| Authorized Official Name and Position | Brian E Holland (CEO/PRESIDENT) |
| 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 31481 Old Ocean City Rd Salisbury MD 21804-1810 Ph: (410) 677-3936 |
| NPI Number | 1194445809 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 3678484300 |
|---|---|
| Medicare Enrollment ID | O20220915000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194445809 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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