Three Lower Counties Community Services, Inc. | |
100 Power St Salisbury MD 21804-6940 | |
(410) 543-2060 | |
(410) 543-2051 |
Full Name | Three Lower Counties Community Services, Inc. |
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Speciality | Clinic/Center |
Location | 100 Power St, 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 |
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Three Lower Counties Community Services, Inc. Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | Three Lower Counties Community Services, Inc. 100 Power St Salisbury MD 21804-6940 Ph: (410) 543-2060 |
NPI Number | 1629786421 |
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Provider Enumeration Date | 11/10/2022 |
Last Update Date | 11/10/2022 |
Medicare PECOS PAC ID | 3678484300 |
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Medicare Enrollment ID | O20230105000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629786421 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 | |
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