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ESCAMBIA COMMUNITY CLINICS INC NPI 1790268159


NPI Information

NPI: 1790268159
Provider Name: ESCAMBIA COMMUNITY CLINICS INC

Doing Business As: TRINITY PEDIATRICS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5375 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 436-4630
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ESCAMBIA COMMUNITY CLINICS INC is a federally qualified health center (fqhc) clinic center in Pensacola, FL. ESCAMBIA COMMUNITY CLINICS INC NPI is 1790268159. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Pediatrics.

The provider's business location address is:

5375 N 9TH AVE
PENSACOLA, FL
ZIP 32504-725
Phone: (850) 436-4630
Fax: (850) 436-2095

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 enumeration date for this NPI number is 9/12/2018 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/14/2023

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