Organization
ESCAMBIA COMMUNITY CLINICS, INC
Active
Parent organization
ESCAMBIA COMMUNITY CLINICS INC
Other names
Santa Rosa Community Clinic, Milton
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESCAMBIA COMMUNITY CLINICS INC
Authorized official
CHANDRA SMILEY (EXECUTIVE DIRECTOR)
(850) 436-4630
Entity
Organization
Contact information
Practice address
6671 CAROLINE ST, MILTON, FL 32570-4781
(850) 981-9433
(850) 981-9436
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
—
692990702
—
FL
Enumeration date
07/31/2007
Last updated
08/04/2021
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