ESCAMBIA COMMUNITY CLINICS INC NPI 1366758088

NPI Information

  • NPI: 1366758088
  • Provider Name: ESCAMBIA COMMUNITY CLINICS, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: ECC LAKEVIEW CAMPUS
  • CLIA Number: 10D2108125
  • Address: 1201 W HERNANDEZ ST
    BUILDING E
    PENSACOLA, FL
    ZIP 32501
  • Phone: (850) 469-3890

Map and Directions

Get Directions

NPI Details

ESCAMBIA COMMUNITY CLINICS, INC is a federally qualified health center (fqhc) clinic center in Pensacola, FL. ESCAMBIA COMMUNITY CLINICS, INC NPI is 1366758088. The provider is registered as an organization entity type.
The provider Is Doing Business As Ecc Lakeview Campus.

The provider's business location address is:

1201 W HERNANDEZ ST
BUILDING E
PENSACOLA, FL
ZIP 32501-815
Phone: (850) 469-3890
Fax: (850) 469-3685

The provider's authorized official is Chandra Smiley .
The authorized official title is Executive Director and has the following contact phone number (850) 436-4630.

The CLIA number assigned to this NPI record is 10D2108125 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 11/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1692990706MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI