| Escambia Community Clinics Inc | |
|
6021 Industrial Blvd Century FL 32535 | |
| (850) 724-4064 | |
| (850) 436-2095 |
| Full Name | Escambia Community Clinics Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6021 Industrial Blvd, Century, Florida |
| Authorized Official Name and Position | Chandra Smiley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504364630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Escambia Community Clinics Inc 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Escambia Community Clinics Inc 6021 Industrial Blvd Century FL 32535 Ph: (850) 724-4064 |
| NPI Number | 1952822173 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20171030002835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952822173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Escambia Community Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Church St, Century, FL 32535 Phone: 850-436-4630 Fax: 850-436-2095 |