| Coastal Community Health Services, Inc. | |
|
4621 Altama Ave Brunswick GA 31520-2908 | |
| (912) 217-9507 | |
| Not Available |
| Full Name | Coastal Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4621 Altama Ave, Brunswick, Georgia |
| Authorized Official Name and Position | Kavanaugh Chandler (CEO) |
| Authorized Official Contact | 9122758028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Community Health Services, Inc. 100 Professional Center Dr Brunswick GA 31525-6743 Ph: (912) 275-8028 | Coastal Community Health Services, Inc. 4621 Altama Ave Brunswick GA 31520-2908 Ph: (912) 217-9507 |
| NPI Number | 1730969098 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730969098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Coastal Community Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2747 4th St, Brunswick, GA 31520 Phone: 912-289-2617 | |
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