Escambia Community Clinics Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ESCAMBIA COMMUNITY CLINICS INC

Doing business as

Community Health Northwest Florida
ECC Women's Health

Practice address

5855 Creek Station Dr
Pensacola, FL 32504-8626

Phone

(850) 435-4352

Fax

(850) 437-6195

NPI assigned

Dec 17, 2015

Last updated

Jul 27, 2020By the provider in NPPES

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

Ceo

Phone

(850) 436-4630

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Community Health Northwest Florida Doing business as
• ECC Women's Health Doing business as

Part of

Escambia Community Clin

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Escambia Community Clinics, Inc

  • Clinic Pharmacy
  • Pensacola, FL
  • NPI 1275194383

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1447615455",
    "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": "5855 CREEK STATION DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048626",
            "telephone_number": "850-435-4352",
            "fax_number": "850-437-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "enumeration_date": "2015-12-17",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-436-4630"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692990727",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692990718",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98183",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Northwest Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECC Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Escambia Co Board of County Commiss (Escambia County EMS)
• Escambia Co Public Schools
• Escambia Community Clinic Inc-Lanza Pediatrics
• Escambia Community Clinics Inc (12th Avenue Pediatrics)
• Escambia Community Clinics Inc (ECC at Waterfront Rescue Mission)
• Escambia Community Clinics Inc (Palafox Primary Care)
• Escambia Community Clinics Inc (Weis Elementary School)
• Escambia Community Clinics Inc
• Escambia Community Clinics Inc (Trinity Pediatrics)
• Escambia Community Clinics Inc

• Federally Qualified Health Center (FQHC) in Pensacola, FL
• Providers in Pensacola, 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 Jul 27, 2020; 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.