Organization
ESCAMBIA COMMUNITY CLINICS INC
Active
Parent organization
ESCAMBIA COMMUNITY CLINICS INC
Other names
ECC Women's Health, Community Health Northwest Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESCAMBIA COMMUNITY CLINICS INC
Authorized official
CHANDRA SMILEY (CEO)
(850) 436-4630
Entity
Organization
Contact information
Practice address
5855 CREEK STATION DR, PENSACOLA, FL 32504-8626
(850) 435-4352
(850) 437-6195
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692990718
—
FL
05
—
692990727
—
FL
01
—
98183
BCBS
FL
Enumeration date
12/17/2015
Last updated
07/27/2020
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