| Organization Name: | ESCAMBIA COMMUNITY CLINICS, INC |
| NPI Number: | 1215168992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHANDRA SMILEY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 748 N Highway 29 Cantonment |
| State: | FL US |
| Postal Code: | 325339513 |
| Phone Number: | 8509374004 |
| Fax Number: | 8509374006 |
| NPI Enumeration Date: | 07/29/2009 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | ME87968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |