ESCAMBIA COMMUNITY CLINICS, INC (NPI# 1770911505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770911505 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS, INC |
| Other Organization Name | FAIRFIELD |
| Practice Address |
1295 W Fairfield Dr Pensacola FL 32501-1107 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8509128880 |
| Practice Fax Number | 8509128779 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2013-10-14 |
| 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 |
|---|---|
| ECC Dental Clinic | Doing Business As Name - Organization |
| Fairfield | 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 |
| 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 |
| 1689864035 | Escambia Community Clinics, Inc | Clinic/Center | 5520 Stewart St, Milton, FL 32570-4304 | 2007-07-31 |
| Street Address |
1295 W FAIRFIELD DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972593820 | Kelli Tice Wells | Family Medicine | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2005-10-24 |
| 1831706985 | Thaer Ahmad Ibrahim Abul Hadi | Pediatrics | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-09-23 |
| 1922617661 | Marmik Patel | Student in an Organized Health Care Education/Training Program | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-07-29 |
| 1073122347 | Hemanthi Durga Veligaram | Pediatrics | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-07-23 |
| 1710595053 | Pallavi Agarwal | Pediatrics | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-07-22 |
| 1609493501 | Qingqing Wang | Student in an Organized Health Care Education/Training Program | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-06-26 |
| 1194342907 | Aline Andrucioli | Student in an Organized Health Care Education/Training Program | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2020-06-26 |
| 1336607936 | Skye Lillian Owens | Dietitian, Registered | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2019-03-04 |
| 1275099947 | Kara Holton | Dietitian, Registered | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2019-02-18 |
| 1447740519 | Miry Lisbeth Makebish | Student in an Organized Health Care Education/Training Program | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2018-05-15 |
| 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 |
| 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.