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THREE LOWER COUNTIES COMMUNITY SERVICES INC
NPI 1003585506
Clinic/Center - Federally Qualified Health Center (FQHC) in Princess Anne, MD

Active since September 08, 2021CLIA 21D2005021 · Microscopy
10902 OLD PRINCESS ANNE RD, PRINCESS ANNE, MD 21853(410) 749-1015(410) 749-0654 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2021, Sep 24, 2021, Sep 8, 2021 (3 updates tracked since 2021).

About Three Lower Counties Community Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE LOWER COUNTIES COMMUNITY SERVICES INC (NPI 1003585506), doing business as Chesapeake Health Care, is a healthcare organization registered as a federally qualified health center (fqhc) in Princess Anne, Maryland and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists Brian E Holland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003585506
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHREE LOWER COUNTIES COMMUNITY SERVICES INC
Location Address10902 OLD PRINCESS ANNE RDPrincess Anne, MD 21853-2940
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 749-1015
Fax(410) 749-0654
Organization SubpartNo
Authorized OfficialBrian E HollandCeo · (410) 749-1015
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1003585506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
10902 OLD PRINCESS ANNE RD, Princess Anne, MD 21853
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Other Names 1

Doing Business AsChesapeake Health Care

Other Identifiers 1

Medicaid119591308MD

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Three Lower Counties Community Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20130225000014Part A · Federally Qualified Health Center (FQHC)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2005021

Three Lower Counties Community Services Dba · Salisbury, MD
Active · expires Mar 17, 2028
CLIA Number21D2005021
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorDr. Sara M. Haverty
Laboratory Phone(410) 749-1015
Laboratory LocationThree Lower Counties Community Services Dba1104 Healthway Dreive, Salisbury, MD 21804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAEDYN MARIE BALLENGEE LMSW
Social Worker
10902 OLD PRINCESS ANNE RD
PRINCESS ANNE, MD 21853
Somerset County (410) 651-4040
MS. PATRICIA ROSANNE ALLEN-DARK LCPC
Counselor (Professional)
10902 OLD PRINCESS ANNE RD
PRINCESS ANNE, MD 21853
Somerset County (410) 651-4040
MS. MICHELE YVETTE MCINTOSH
Nurse Practitioner (Family)
10902 OLD PRINCESS ANNE RD
PRINCESS ANNE, MD 21853
Somerset County (410) 651-4040
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
10902 OLD PRINCESS ANNE RD
PRINCESS ANNE, MD 21853
Somerset County (410) 651-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Lower Counties Community Services Inc's NPI number?

The NPI number for Three Lower Counties Community Services Inc is 1003585506. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Chesapeake Health Care.

Where is Three Lower Counties Community Services Inc located?

Three Lower Counties Community Services Inc is located at 10902 Old Princess Anne Rd, Princess Anne, MD 21853. The listed phone number is (410) 749-1015.

What is Three Lower Counties Community Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Three Lower Counties Community Services Inc enrolled in Medicare?

Yes. Three Lower Counties Community Services Inc is registered in the Medicare PECOS enrollment system.

When is Three Lower Counties Community Services Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Maryland, Federally Qualified Health Center (FQHC)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Three Lower Counties Community Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2005021) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Three Lower Counties Community Services Inc was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.