Escambia Community Clinics Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ESCAMBIA COMMUNITY CLINICS INC

Practice address

748 N Highway 29
Cantonment, FL 32533

Phone

(850) 937-4004

Fax

(850) 937-4006

NPI assigned

Jul 29, 2009

Organization subpart

Yes

Parent organization

ESCAMBIA COMMUNITY CLINICS INCAs reported in NPPES

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

Authorized official

Name

Chandra Smiley

Title

Executive Director

Phone

(850) 436-4630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cantonment Adult and Familiy Care Doing business as

Part of

Alan Pendergrass MD

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1215168992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057552",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "32533",
            "telephone_number": "850-937-4004",
            "fax_number": "850-937-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "enumeration_date": "2009-07-29",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-436-4630"
    },
    "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": "692990704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cantonment Adult and Familiy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Ann Elliott
• Amber Nicole Ellis, RBT
• Kim Marie Empie, L.M.H.C.
• Encompass Therapies, Inc.
• Sydney English
• Escambia Community Clinics Inc
• Sharon Eschbach
• Peter Estepa, MSW
• Raina Marie Feaster
• Carlos Gerardo Feliciano Rodriguez, PMHNP

• Federally Qualified Health Center (FQHC) in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.