THREE LOWER COUNTIES COMMUNITY SERVICES INC. NPI 1407849920

NPI Information

  • NPI: 1407849920
  • Provider Name: THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: CHESAPEAKE HEALTH CARE
  • Address: 12165 ELM ST
    PRINCESS ANNE, MD
    ZIP 21853
  • Phone: (410) 651-5151

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NPI Details

THREE LOWER COUNTIES COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Princess Anne, MD. THREE LOWER COUNTIES COMMUNITY SERVICES, INC. NPI is 1407849920. The provider is registered as an organization entity type.
The provider Is Doing Business As Chesapeake Health Care.

The provider's business location address is:

12165 ELM ST
PRINCESS ANNE, MD
ZIP 21853-358
Phone: (410) 651-5151
Fax: (410) 651-4256

The provider's authorized official is Brian E Holland .
The authorized official title is President & Ceo and has the following contact phone number (410) 749-1015.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 2/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1119591300MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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