ESCAMBIA COMMUNITY CLINICS INC (NPI# 1811344682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811344682 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Other Organization Name | CANTONMENT PEDIATRICS |
| Practice Address |
470 S Highway 29 Ste 2 Cantonment FL 32533 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8507800111 |
| Practice Fax Number | 8507800642 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2016-05-20 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 692990721 | 05 |
| Other Name | Type Code |
|---|---|
| Cantonment 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 |
| 1033601794 | Escambia Community Clinics Inc | Clinic/Center | 4435 Highway 90, Pace, FL 32571 | 2018-05-30 |
| 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 |
470 S HIGHWAY 29 STE 2 |
| City | CANTONMENT |
| State | FL |
| Zip Code | 32533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679375 | Samuel Fitzsimons Ravenel II | Pediatrics | 470 S Highway 29 Ste 2, Cantonment, FL 32533-6314 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1013499441 | Self Haven LLC | Counselor | 1105 Carla Drive, Cantonment, FL 32533 | 2018-09-01 |
| 1104270974 | Tabitha Dugal | Nurse Practitioner | 2360 Us-29, Cantonment, FL 32533 | 2016-04-19 |
| 1912391335 | Gene Raymond Lachney Jr. | Pharmacist | 1550 S Hwy 29, Cantonment, FL 32533 | 2015-03-24 |
| 1902297922 | Sandra Darlene Nelson | Technician | 2524 Sourthern Oak Drive, Cantonment, FL 32533 | 2015-02-12 |
| 1023353695 | Laurelwood Alf | Clinic/Center | 1851 W. Ten Mile Rd, Cantonment, FL 32533 | 2012-12-07 |
| 1235409624 | Ingrid Wilson Huang | Psychologist | 2220 Parker Rd, Cantonment, FL 32533 | 2012-01-03 |
| 1104062850 | Linda Singleton | Adult Companion | 926 Booker St., Cantonment, FL 32533 | 2008-12-31 |
| 1215119193 | Cantonment Family Medicine Pa | Family Medicine | 2400 S. Hwy 29, Cantonment, FL 32533 | 2007-12-03 |
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| Find all providers in zip 32533 | ||||
| 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 |
|---|---|---|---|---|
| 1215168992 | Escambia Community Clinics Inc | Clinic/Center | 748 N Highway 29, Cantonment, FL 32533 | 2009-07-29 |
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| Find all providers with the same taxonomy | ||||
| City | CANTONMENT |
| Zip Code | 32533 |
Please comment or provide details below to improve the information on ESCAMBIA COMMUNITY CLINICS INC.
| 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.