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CH045289K ESCAMBIA COMMUNITY CLINICS, INC. (Terminated)
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Main Details
Name
ESCAMBIA COMMUNITY CLINICS, INC.
Subdivision Name
Women's Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017573
340B ID
CH045289K
Grant Number
H80CS08755
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Escambia Community Clinics, Inc.
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Primary Contact
Escambia Community Clinics, Inc. dba Community Health NWFL
Athena Gayzell Durant, Director of Finance & Grants
(850) 436-4630
Addresses
Street Address
5855 Creek Station Dr.
Pensacola, FL 32504
Billing Address
Community Health Northwest Florida
2315 W Jackson St.
Pensacola, FL 32505-1736
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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