| Cfhc-gulfport Health Center Extensioin | |
|
1408 44th Ave Gulfport MS 39501-2554 | |
| (228) 374-2494 | |
| (228) 374-0856 |
| Full Name | Cfhc-gulfport Health Center Extensioin |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1408 44th Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Angelique Greer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfhc-gulfport Health Center Extensioin Po Box 475 Biloxi MS 39533-0475 Ph: (228) 374-2494 | Cfhc-gulfport Health Center Extensioin 1408 44th Ave Gulfport MS 39501-2554 Ph: (228) 374-2494 |
| NPI Number | 1427364397 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427364397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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