Three Lower Counties Community Services, Inc. | |
635 E Main St Salisbury MD 21804-5021 | |
(410) 749-1015 | |
Not Available |
Full Name | Three Lower Counties Community Services, Inc. |
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Speciality | Clinic/Center |
Location | 635 E Main 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. 635 E Main St Salisbury MD 21804-5021 Ph: (410) 749-1015 |
NPI Number | 1629858444 |
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Provider Enumeration Date | 09/29/2023 |
Last Update Date | 09/29/2023 |
Medicare PECOS PAC ID | 3678484300 |
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Medicare Enrollment ID | O20231030002168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629858444 | 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 |
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