THREE LOWER COUNTIES COMMUNITY SERVICES, INC. (NPI# 1285171199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171199 |
| Entity Type | Organization |
| Organization Name | THREE LOWER COUNTIES COMMUNITY SERVICES, INC. |
| Practice Address |
9956 N Main St Unit# 2 Berlin MD 21811-1077 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4109732820 |
| Practice Fax Number | 4109732843 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107491020 |
| Enumeration Date | 2017-01-30 |
| 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 |
| 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 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 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 |
| 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 |
9956 N MAIN ST UNIT# 2 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376521492 | David Gannon | Podiatrist | 9956 N Main St, Suite #5, Berlin, MD 21811-1077 | 2006-01-09 |
| 1023413317 | Sarah Colleen Kernan | Chiropractor | 9956 N Main St, Suite 4, Berlin, MD 21811-1077 | 2014-10-29 |
| 1720408610 | Amanda G Buckley | Dietitian, Registered | 9956 N Main St, Suite 2, Berlin, MD 21811-1077 | 2014-04-18 |
| 1558593814 | Amy Miller Gehrig | Dietitian, Registered | 9956 N Main St, Unit 2, Berlin, MD 21811-1077 | 2009-08-19 |
| 1174795124 | Optimal Health Chiropractic P. C. | Chiropractor | 9956 N Main St, Suite 4, Berlin, MD 21811-1077 | 2008-03-31 |
| 1710171236 | Jeffery Charles Michael | Chiropractor | 9956 N Main St, Suite 4, Berlin, MD 21811-1077 | 2007-08-28 |
| 1861415200 | David Gannon Dpm LLC | Podiatrist | 9956 N Main St, Suite #5, Berlin, MD 21811-1077 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.