Healthcare Provider Details

I. General information

NPI: 1275700015
Provider Name (Legal Business Name): THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 PHILLIP MORRIS DR
SALISBURY MD
21804-1923
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-2424
  • Fax: 410-742-6633
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN E HOLLAND
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-749-1015