Organization · Type 2 NPI

Escambia Community Clinics Inc

Federally Qualified Health Center (FQHC) · Pensacola, FL

NPI number 1073842456 Active

Practice location

2510 N 12th Ave
Pensacola, FL 32503

Call (850) 471-0508 Map

Fax (850) 471-0510

Mailing address

2315 W Jackson St
Pensacola, FL 32505-7552

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Lisa D. Tucker, M.d., P.a.Obstetrics & Gynecology Physician Pensacola, FL NPI 1609885441
Pamela Carr, LCSWClinical Social Worker Pensacola, FL NPI 1104183813
Quetheline M. Helvetius-Lanza, MDPediatrics Physician Pensacola, FL NPI 1447234398

Other federally qualified health center (fqhc) providers in Pensacola

See all in Pensacola →

NPI record

NPI: 1073842456
Entity type: Organization (Type 2)
Issued: Dec 15, 2009
Last updated: Nov 30, 2018
Status: Active
Subpart: Yes of Escambia Community Clinics Inc

Other names

<unavail>
12th Avenue Pediatrics · doing business as

Authorized official

Chandra Smiley, EXECUTIVE DIRECTOR
Executive Director
(850) 436-4630

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073842456

Escambia Community Clinics Inc's National Provider Identifier is 1073842456, issued on Dec 15, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Pensacola, FL. The record was last updated on Nov 30, 2018.