ESCAMBIA COMMUNITY CLINICS INC (NPI# 1447615455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447615455 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Other Organization Name | ECC WOMEN'S HEALTH |
| Practice Address |
5855 Creek Station Dr Pensacola FL 32504-8626 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8504354352 |
| Practice Fax Number | 8504376195 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | CHANDRA SMILEY (CEO) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 692990727 | 05 | |
| FL | 692990718 | 05 | |
| FL | BCBS | 98183 | 01 |
| Other Name | Type Code |
|---|---|
| Community Health Northwest Florida | Doing Business As Name - Organization |
| ECC Women's Health | 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 |
| 1033601794 | Escambia Community Clinics Inc | Clinic/Center | 4435 Highway 90, Pace, FL 32571 | 2018-05-30 |
| 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 |
| 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 |
5855 CREEK STATION DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275598336 | Nancy L. Hoover-larkey | Physical Therapist | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-04-19 |
| 1386208536 | Stephanie L. Pannell | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2019-04-23 |
| 1770054082 | Tiffany Briggs | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2018-12-12 |
| 1972812014 | Pensacola Orthotic & Prosthetic Specialties, Inc | Prosthetic/Orthotic Supplier | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2010-10-06 |
| 1104096114 | Leah K. Bullard | Physical Therapy Assistant | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2008-03-05 |
| 1447428503 | Laurie Q Seigh | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2008-02-12 |
| 1033263207 | Kathleen Louise Pavel | Physician Assistant | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2007-01-23 |
| 1083792915 | Kenneth E. Byrd | Physical Therapist | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-11-01 |
| 1265468268 | Ann M Ross | Obstetrics & Gynecology | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497114953 | Escambia Community Clinics Inc | Clinic/Center | 2701 N Q St, Pensacola, FL 32505-5615 | 2016-02-12 |
| 1770911505 | Escambia Community Clinics, Inc | Clinic/Center | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2013-10-14 |
| 1275872780 | Escambia Community Clinics, Inc | Clinic/Center | 5868 Creek Station Dr Bldg A, Pensacola, FL 32504-8627 | 2013-02-04 |
| 1497020549 | Escambia Community Clinics Inc | Clinic/Center | 14 W Jordan St, Suite A, Pensacola, FL 32501 | 2012-03-21 |
| 1265720957 | Escambia Community Clinic Inc-lanza Pediatrics | Clinic/Center | 2200 N Palafox St, Pensacola, FL 32501-1723 | 2011-07-14 |
| 1366758088 | Escambia Community Clinics, Inc | Clinic/Center | 1201 W Hernandez St, Building E, Pensacola, FL 32501-1815 | 2010-08-19 |
| 1073842456 | Escambia Community Clinics Inc | Clinic/Center | 2510 N 12th Ave, Pensacola, FL 32503 | 2009-12-15 |
| 1841487634 | Escambia Community Clinics Inc | Clinic/Center | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2007-09-26 |
| Find all providers in PENSACOLA | ||||
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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.