THREE LOWER COUNTIES COMMUNITY SERVICES, INC. (NPI# 1790148807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790148807 |
Entity Type | Organization |
Organization Name | THREE LOWER COUNTIES COMMUNITY SERVICES, INC. |
Other Organization Name | CHESAPEAKE HEALTH CARE |
Practice Address |
30577 Camp Road Westover MD 21871 |
Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
Practice Telephone | 4107491015 |
Practice Fax Number | 4107491020 |
Mailing Telephone | 4107491015 |
Mailing Fax Number | 4107491020 |
Enumeration Date | 2016-04-05 |
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 |
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 |
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 |
30577 CAMP ROAD |
City | WESTOVER |
State | MD |
Zip Code | 21871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568655744 | Shore Up Inc | Clinic/Center | 8395 Old Westover Rd, Westover, MD 21871 | 2007-08-22 |
1205810777 | Somerset County Health Department | Case Management | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2005-11-30 |
1144667031 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2013-05-31 |
1962771170 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2011-12-16 |
1619043569 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
1528134475 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
1609942556 | Somerset County Health Department | Case Management | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
1447290481 | Neal Jeffrey Musselman | Psychiatry & Neurology | 8420 Follow Ditch Rd, Westover, MD 21871-3024 | 2006-06-07 |
1871534974 | Psychological Offices of Doris C. Garner, Ph.d., PC | Psychologist | 8420 Follow Ditch Rd, Westover, MD 21871-3024 | 2006-06-09 |
1861961385 | Heather Webster Esham | Speech-Language Pathologist | 7982a Tawes Campus Dr, Westover, MD 21871-3908 | 2018-11-14 |
Find all providers in zip 21871 |
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.