ESCAMBIA COMMUNITY CLINICS, INC (NPI# 1689864035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689864035 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS, INC |
| Other Organization Name | SANTA ROSA COMMUNITY CLINIC |
| Practice Address |
5520 Stewart St Milton FL 32570-4304 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8509819433 |
| Practice Fax Number | 8509819436 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2007-07-31 |
| 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 | 692990702 | 05 |
| Other Name | Type Code |
|---|---|
| Milton | Doing Business As Name - Organization |
| Santa Rosa Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194383 | Escambia Community Clinics, Inc | Pharmacy | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2019-06-28 |
| 1073174181 | Escambia Community Clinics, Inc | Pharmacy | 14 W Jordan St, Pensacola, FL 32501-1736 | 2019-06-28 |
| 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 |
| 1366758088 | Escambia Community Clinics, Inc | Clinic/Center | 1201 W Hernandez St, Building E, Pensacola, FL 32501-1815 | 2010-08-19 |
| Street Address |
5520 STEWART ST |
| City | MILTON |
| State | FL |
| Zip Code | 32570-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646745 | Diane Carolyn Hudson | Family Medicine | 5520 Stewart St, Milton, FL 32570-4304 | 2006-04-05 |
| 1174154256 | Jared C. Shipley | Physician Assistant | 5520 Stewart St, Milton, FL 32570-4304 | 2020-01-28 |
| 1619321650 | Ashley Jones Mcdaniel | Social Worker | 5520 Stewart St, Milton, FL 32570 | 2016-04-15 |
| 1619335809 | Andrea Nutt | Social Worker | 5520 Stewart St, Milton, FL 32570-4304 | 2016-02-03 |
| 1194058826 | April Belle Archer | Nurse Practitioner | 5520 Stewart St, Milton, FL 32570-4304 | 2009-09-14 |
| 1528272168 | Charlene Rogers Echols | Nurse Practitioner | 5520 Stewart St, Milton, FL 32570-4304 | 2007-05-10 |
| 1962627000 | Melissa Kay Pocta | Family Medicine | 5520 Stewart St, Milton, FL 32570-4304 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| 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.