THREE LOWER COUNTIES COMMUNITY SERVICES, INC. (NPI# 1154354744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154354744 |
| Entity Type | Organization |
| Organization Name | THREE LOWER COUNTIES COMMUNITY SERVICES, INC. |
| Other Organization Name | CHESAPEAKE HEALTH CARE |
| Practice Address |
12145 Elm Street Princess Anne MD 21853 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106515135 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107491020 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | MR. BRIAN E HOLLAND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4107491015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Other Name | Type Code |
|---|---|
| Chesapeake Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157832 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1615 Tree Sap Ct Ste A, Salisbury, MD 21804-9403 | 2017-11-07 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1790148807 | Three Lower Counties Community Services, Inc. | Clinic/Center | 30577 Camp Road, Westover, MD 21871 | 2016-04-05 |
| 1730656752 | Three Lower Counties Community Services, Inc. | Community/Behavioral Health | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2018-10-29 |
| 1588131700 | Three Lower Counties Community Services, Inc. | Community/Behavioral Health | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-10-25 |
| 1285171199 | Three Lower Counties Community Services, Inc. | Clinic/Center | 9956 N Main St, Unit# 2, Berlin, MD 21811-1077 | 2017-01-30 |
| 1780960120 | Three Lower Counties Community Services, Inc. | Dentist | 32033 Beaver Run Dr, Salisbury, MD 21804-1773 | 2011-10-31 |
| 1568766301 | Three Lower Counties Community Services, Inc. | Obstetrics & Gynecology | 32033 Beaver Run Dr, Salisbury, MD 21804-1773 | 2011-01-10 |
| 1285938258 | Three Lower Counties Community Services, Inc. | Clinic/Center | 32033 Beaver Run Dr, Salisbury, MD 21804-1773 | 2011-01-05 |
| 1881923993 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12165 Elm St, Princess Anne, MD 21853-1358 | 2009-12-18 |
| Street Address |
12145 ELM STREET |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740490150 | Jon R Spence | Pharmacist | 12145 Elm Street, Princess Anne, MD 21853 | 2007-05-23 |
| 1184757445 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2007-03-14 |
| 1033242284 | Three Lower Counties Community Services, Inc. | Community/Behavioral Health | 12145 Elm Street, Princess Anne, MD 21853 | 2007-03-14 |
| 1811086838 | Joayne Marie Kerry-turner | Nurse Practitioner | 12145 Elm Street, Princess Anne, MD 21853 | 2006-10-11 |
| 1700992518 | Crystal Lynn Lambert | Social Worker | 12145 Elm Street, Princess Anne, MD 21853 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| 1285182857 | Bryant Julian Howard | Social Worker | 12145 Elm St, Princess Anne, MD 21853 | 2016-09-13 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849920 | Three Lower Counties Community Services,inc. | Clinic/Center | 12165 Elm St, Princess Anne, MD 21853-1358 | 2005-08-30 |
| 1881923993 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12165 Elm St, Princess Anne, MD 21853-1358 | 2009-12-18 |
| 1376710111 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm St, Princess Anne, MD 21853-1358 | 2008-05-12 |
| 1588831333 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12137 Elm St, Princess Anne, MD 21853-1358 | 2008-05-12 |
| 1184757445 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2007-03-14 |
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| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
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| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.