ESCAMBIA COMMUNITY CLINICS INC (NPI# 1033601794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033601794 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Other Organization Name | HWY 90 PEDIATRICS |
| Practice Address |
4435 Highway 90 Pace FL 32571 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8504364630 |
| Practice Fax Number | 8504362095 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | CHANDRA SMILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504364630 |
| Is Organization Subpart | Y |
| Parent Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hwy 90 Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822173 | Escambia Community Clinics Inc | Clinic/Center | 6021 Industrial Blvd, Century, FL 32535 | 2017-06-28 |
| 1932568029 | Escambia Community Clinics Inc | Clinic/Center | 501 Church St, Century, FL 32535-2914 | 2016-02-17 |
| 1225469398 | Escambia Community Clinics Inc | Clinic/Center | 380 W Herman St, Pensacola, FL 32505-5249 | 2013-11-27 |
| 1790268159 | Escambia Community Clinics Inc | Clinic/Center | 5375 N 9th Ave, Pensacola, FL 32504-8725 | 2018-09-12 |
| 1811344682 | Escambia Community Clinics Inc | Clinic/Center | 470 S Highway 29 Ste 2, Cantonment, FL 32533 | 2016-05-20 |
| 1497114953 | Escambia Community Clinics Inc | Clinic/Center | 2701 N Q St, Pensacola, FL 32505-5615 | 2016-02-12 |
| 1447615455 | Escambia Community Clinics Inc | Clinic/Center | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2015-12-17 |
| 1497020549 | Escambia Community Clinics Inc | Clinic/Center | 14 W Jordan St, Suite A, Pensacola, FL 32501 | 2012-03-21 |
| 1073842456 | Escambia Community Clinics Inc | Clinic/Center | 2510 N 12th Ave, Pensacola, FL 32503 | 2009-12-15 |
| 1215168992 | Escambia Community Clinics Inc | Clinic/Center | 748 N Highway 29, Cantonment, FL 32533 | 2009-07-29 |
| Street Address |
4435 HIGHWAY 90 |
| City | PACE |
| State | FL |
| Zip Code | 32571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336193143 | Bradley Brain Hawkins | Family Medicine | 4435 Highway 90, Pace, FL 32571-2066 | 2006-05-19 |
| 1245703453 | Sacred Heart Medical Group Urgent Care | Clinic/Center | 4435 Highway 90, Pace, FL 32571-2066 | 2019-01-10 |
| 1124369160 | Pediatric Associates Pa | Pediatrics | 4435 Highway 90, Pace, FL 32571-2066 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.