MEDICARE: THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932962982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1978
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21802-1978
Country	:	US
Telephone Number	:	410-749-1015
Fax Number	:	410-749-0654

Provider Business Practice Location Address
First Line	:	1817 OLD VIRGINIA RD
Second Line	:
City	:	POCOMOKE CITY
State	:	MD
Zip	:	21851-3049
Country	:	US
Telephone Number	:	410-651-4040
Fax Number	:	888-843-8455

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. BRIAN E HOLLAND
Credential	:
Telephone Number	:	410-749-1015

Provider Enumeration Date	:	02/02/2024
Last Update Date	:	08/08/2025

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