Escambia Community Clinics Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ESCAMBIA COMMUNITY CLINICS INC

Doing business as

Century Pediatrics

Practice address

501 Church St
Century, FL 32535-2914

Phone

(850) 436-4630

Fax

(850) 436-2095

NPI assigned

Feb 17, 2016

Last updated

Nov 30, 2018By 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

Executive Director

Phone

(850) 436-4630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Century Pediatrics Doing business as

Part of

Escambia Community Clin

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1932568029",
    "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": "501 CHURCH ST",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352914",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESCAMBIA COMMUNITY CLINICS INC",
        "enumeration_date": "2016-02-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692990725",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Century Family Practice, PA
• Century Pharmacy, LLC
• Century SNF Operations LLC
• Nichole Childress, M.S., CCC-SLP
• Rebecca J Cooksey, NP
• Escambia Community Clinics Inc (Century Adult Primary Care)
• Naomi Golino, ARNP
• Teresa F Hatfield, ARNP
• Holiday CVS LLC (CVS Pharmacy #04027)
• Trina James-Tanner

• Federally Qualified Health Center (FQHC) in Century, FL
• Providers in Century, 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.