Ecc Women's Health | |
5855 Creek Station Dr Pensacola FL 32504-8626 | |
(850) 435-4352 | |
(850) 437-6195 |
Full Name | Ecc Women's Health |
---|---|
Speciality | Clinic/Center |
Location | 5855 Creek Station Dr, Pensacola, Florida |
Authorized Official Name and Position | Chandra Smiley (CEO) |
Authorized Official Contact | 8504364630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ecc Women's Health 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Ecc Women's Health 5855 Creek Station Dr Pensacola FL 32504-8626 Ph: (850) 435-4352 |
NPI Number | 1447615455 |
---|---|
Provider Enumeration Date | 12/17/2015 |
Last Update Date | 07/27/2020 |
Medicare PECOS PAC ID | 9638165806 |
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Medicare Enrollment ID | O20160406000005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447615455 | NPI | - | NPPES |
692990727 | Medicaid | FL | |
98183 | Other | FL | BCBS |
692990718 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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