NPIMap

Organization Active NPI

Three Lower Counties Community Services Inc

  • Federally Qualified Health Center (FQHC)
  • Princess Anne, MD
National Provider Identifier
1003585506
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THREE LOWER COUNTIES COMMUNITY SERVICES INC
Practice address
10902 Old Princess Anne Rd
Princess Anne, MD 21853-2940
Phone
(410) 749-1015
Fax
(410) 749-0654
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian E Holland
Title
Ceo
Phone
(410) 749-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

10902 Old Princess Anne Rd
Princess Anne, MD 21853-2940

Mailing address

PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015

Other identifiers 1

IdentifierTypeStateIssuer
119591308MedicaidMD

Other names 1

  • Chesapeake Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000014 MD Part A Provider - Federally Qualified Health Center (FQHC) 3678484300 Practice locations: Princess Anne, MD

Federally qualified health center certification: CCN 211935

Legal name
THREE LOWER COUNTIES COMMUNITY SERVICES INC
Doing business as
CHESAPEAKE HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 28, 2022
Last certification
Feb 28, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1994 in MD
Enrollment address
10902 Old Princess Anne Rd
Princess Anne, MD 21853-2940

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Crossan Individual Corporate DirectorBoard Member Apr 7, 2008
Paula D. Brown Individual Corporate DirectorBoard Member Mar 31, 2015
D'Arcy Nicole Green Individual Corporate DirectorVice Chairperson May 27, 2009
Three Lower Counties Community Services Inc Organization, Salisbury, MD Corporation, Non-profit Operational/Managerial Control Jun 1, 2018
Everett L. McCabe Individual Corporate DirectorTreasurer Sep 27, 2016
Lauren Taylor Individual Corporate DirectorSecretary Feb 27, 2008
Chris Labarge Individual Corporate DirectorChairperson Dec 16, 2009
Ernest D. Camarena Individual Corporate DirectorBoard Member Jan 28, 2014
Robert J. Laun Individual Corporate DirectorBoard Member Mar 25, 2014
Keisha Evans Individual Corporate DirectorBoard Member Feb 27, 2018
Cecilia Campbell Individual Corporate DirectorBoard Member Oct 29, 2019
Brian E Holland Individual Corporate OfficerPresident & Ceo Jun 1, 2018
W-2 Managing EmployeePresident & Ceo Jun 1, 2018
Operational/Managerial ControlPresident & Ceo Jun 1, 2018

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chesapeake Health CareBerlin, MD, CCN 211937 Federally qualified health center Operational/Managerial Control Feb 28, 1994
Chesapeake Health CareSalisbury, MD, CCN 211941 Federally qualified health center Operational/Managerial Control Feb 28, 1994
Chesapeake Health CarePocomoke City, MD, CCN 211943 Federally qualified health center Operational/Managerial Control Feb 28, 1994
Chesapeake Health CareSalisbury, MD, CCN 211010 Federally qualified health center Operational/Managerial Control Feb 28, 1994
Chesapeake Health CareBerlin, MD, CCN 211025 Federally qualified health center Operational/Managerial Control Feb 28, 1994

National Provider Directory

National Provider Directory
Tax ID family
Three Lower Counties Comm37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3167/brand/1/csg/22/fhir/r4

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1003585506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1978",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021978",
            "telephone_number": "410-749-1015",
            "fax_number": "410-749-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10902 OLD PRINCESS ANNE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532940",
            "telephone_number": "410-749-1015",
            "fax_number": "410-749-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LOWER COUNTIES COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-749-1015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591308",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princess Anne, MD

Sources for this page

Verify at the official NPI Registry.