Escambia Community Clinics, Inc | |
2500 Longleaf Dr Bldg A Pensacola FL 32526-8930 | |
(850) 665-3252 | |
(850) 512-1554 |
Full Name | Escambia Community Clinics, Inc |
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Speciality | Clinic/Center |
Location | 2500 Longleaf Dr Bldg A, 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 |
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Escambia Community Clinics, Inc 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Escambia Community Clinics, Inc 2500 Longleaf Dr Bldg A Pensacola FL 32526-8930 Ph: (850) 665-3252 |
NPI Number | 1629789466 |
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Provider Enumeration Date | 12/13/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 9638165806 |
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Medicare Enrollment ID | O20230501001202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629789466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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