ESCAMBIA COMMUNITY CLINICS INC (NPI# 1952822173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952822173 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS INC |
| Other Organization Name | CENTURY ADULT PRIMARY CARE |
| Practice Address |
6021 Industrial Blvd Century FL 32535 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8507244064 |
| Practice Fax Number | 8504362095 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2017-06-28 |
| 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 |
|---|---|
| Century Adult Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
6021 INDUSTRIAL BLVD |
| City | CENTURY |
| State | FL |
| Zip Code | 32535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558622084 | Candace Elease Whittington | Dentist | 501 Church Street, Century, FL 32535 | 2012-05-31 |
| 1770862567 | Reginold Levi Simmons | General Practice | 400 Tedder Road, Century, FL 32535 | 2011-08-10 |
| 1972697308 | Karin J Pardue | Family Medicine | 8401 N Century Blvd, Century, FL 32535 | 2006-10-02 |
| 1962412262 | Georgia Warren Agrait | Nurse Practitioner | 8401 N Century Blvd, Century, FL 32535 | 2006-08-09 |
| 1952404600 | Holiday Cvs LLC | Pharmacy | 8361 N Century Blvd, Century, FL 32535-1629 | 2006-09-07 |
| 1235149949 | Bascom Clarence Raney | Clinic/Center | 8401 N Century Blvd, Century, FL 32535-1631 | 2006-08-08 |
| 1699192567 | Jay Hospital Inc | Clinic/Center | 8401 N Century Blvd, Century, FL 32535-1631 | 2014-03-27 |
| 1164812962 | Mayo Street Medical, Inc | General Practice | 7600 Mayo St Ste A, Century, FL 32535-2905 | 2015-01-31 |
| 1487799284 | Century Family Practice, Pa | Clinic/Center | 7600 Mayo St, Century, FL 32535-2905 | 2007-02-20 |
| 1538280359 | Christian G Bachman | Family Medicine | 7600 Mayo St, Century, FL 32535-2905 | 2007-04-02 |
| Find all providers in zip 32535 | ||||
| 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 |
|---|---|---|---|---|
| 1932568029 | Escambia Community Clinics Inc | Clinic/Center | 501 Church St, Century, FL 32535-2914 | 2016-02-17 |
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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.