ESCAMBIA COMMUNITY CLINICS INC (NPI# 1497020549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497020549 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Other Organization Name | ECC URGENT CARE |
| Practice Address |
14 W Jordan St Suite A Pensacola FL 32501 |
| 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 | 2012-03-21 |
| Last Update Date | 2019-07-23 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 692990728 | 05 |
| Other Name | Type Code |
|---|---|
| ECC Urgent Care | Doing Business As Name - Organization |
| Jordan Street | Doing Business As Name - Organization |
| Jordan Street Walk In Care | 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 |
| 1447615455 | Escambia Community Clinics Inc | Clinic/Center | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2015-12-17 |
| 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 |
14 W JORDAN ST SUITE A |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561221 | Rogelio D Samson | Family Medicine | 14 W Jordan St, Pensacola, FL 32501-1736 | 2005-07-07 |
| 1073174181 | Escambia Community Clinics, Inc | Pharmacy | 14 W Jordan St, Pensacola, FL 32501-1736 | 2019-06-28 |
| 1497251003 | Ladonna Dapremont | Nurse Practitioner | 14 W Jordan St, Ste. 1e, Pensacola, FL 32501 | 2018-04-03 |
| 1639692981 | Hannah Burt | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-07-19 |
| 1396283503 | Magan Cook | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-02-08 |
| 1316485170 | Jessica Wade | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2017-02-01 |
| 1508302605 | Jeremy Olmstead | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-01-12 |
| 1730639089 | Alianna Gilmartin | Physician Assistant | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-10-11 |
| 1164878997 | Jennifer Knight | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-05-11 |
| 1699134916 | Jennifer Prince | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| 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 |
| 1447615455 | Escambia Community Clinics Inc | Clinic/Center | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2015-12-17 |
| 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 |
| 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.