| Coastal Community Health Services, Inc. | |
|
2321 Pooler Parkway Suite 106 Pooler GA 31322 | |
| (912) 275-8028 | |
| Not Available |
| Full Name | Coastal Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2321 Pooler Parkway, Pooler, 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) 574-5075 | Coastal Community Health Services, Inc. 2321 Pooler Parkway Suite 106 Pooler GA 31322 Ph: (912) 275-8028 |
| NPI Number | 1871350090 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871350090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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