CANTONMENT PEDIATRICS – NPI #1811344682
Clinic/Center

CANTONMENT PEDIATRICS is an AHC clinic located in CANTONMENT, FL. NPPES has assigned the NPI number 1811344682 to CANTONMENT PEDIATRICS on May 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANTONMENT PEDIATRICS” is a dba name, the actual legal business name for this organization is ESCAMBIA COMMUNITY CLINICS INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Nov 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANTONMENT PEDIATRICS below.

NPI Profile for
ESCAMBIA COMMUNITY CLINICS INC

NPI Number
1811344682
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ESCAMBIA COMMUNITY CLINICS INC
Doing Business As (dba): CANTONMENT PEDIATRICS
Primary location
470 S HIGHWAY 29 STE 2
CANTONMENT, FL 32533
Phone: (850) 780-0111 Fax: (850) 780-0642
Mailing address
2315 W JACKSON ST
PENSACOLA, FL 32505-7552
Phone: (850) 436-4630 Fax: (850) 436-2095
Organization Subpart
Yes - CANTONMENT PEDIATRICS is subpart of another organization.
Authorized Official
CHANDRA SMILEY
EXECUTIVE DIRECTOR
Phone: (850) 436-4630
Updated
Identifiers

Identifiers for CANTONMENT PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL692990721
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.