Organization
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E HOLLAND (PRESIDENT & CEO)
(410) 749-1015
Entity
Organization
Contact information
Practice address
9956 N MAIN ST, UNIT# 2, BERLIN, MD 21811-1077
(410) 973-2820
(410) 973-2843
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-1020
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
01/30/2017
Last updated
09/28/2018
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