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CH03301N THREE LOWER COUNTIES COMMUNITY SERVICES, INC. (Terminated)
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Main Details
Name
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Subdivision Name
TLC - SBHC @ Washington High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012169
340B ID
CH03301N
Grant Number
H80CS00774
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
Last Recertification Date
2/9/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Chesapeake Health Care
Susanne Gray, CEO/President
(410) 749-1015
Primary Contact
Chesapeake Health Care
JOSHUA BOSTON, Chief Development Officer
(410) 749-1015
Addresses
Street Address
10902 Old Princess Anne Rd
Princess Anne, MD 21853-2940
Billing Address
Three Lower Counties Community Services, Inc
P.O. Box 1978
Salisbury, MD 21804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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