| Coastal Family Health Center, Inc - Escatawpa School Clinic | |
|
4208 Jamestown Rd Moss Point MS 39563-9540 | |
| (228) 474-3300 | |
| Not Available |
| Full Name | Coastal Family Health Center, Inc - Escatawpa School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4208 Jamestown Rd, Moss Point, Mississippi |
| Authorized Official Name and Position | Angelique Greer (CEO) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Health Center, Inc - Escatawpa School Clinic 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center, Inc - Escatawpa School Clinic 4208 Jamestown Rd Moss Point MS 39563-9540 Ph: (228) 474-3300 |
| NPI Number | 1619465705 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20180523002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619465705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Allgood Family Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9930 Saracennia Rd, Moss Point, MS 39562 Phone: 228-475-7877 Fax: 228-475-8085 | |
Coastal Family Health Center, Inc - Kreole School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6312 Martin Luther King Blvd, Moss Point, MS 39563 Phone: 228-475-3719 | |
Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Orange Grove Road, Moss Point, MS 39563 Phone: 228-473-9945 Fax: 228-475-3747 | |
Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Weems Street, Moss Point, MS 39563 Phone: 228-474-7103 Fax: 228-474-7103 | |
Moss Point Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Griffin St, Moss Point, MS 39563 Phone: 228-355-0719 Fax: 228-475-4039 | |
Coastal Family Health Center, Inc - Magnolia School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4630 Magnolia St, Moss Point, MS 39563 Phone: 228-475-1429 | |
Coastal Family Health Center, Inc - East Central Upper Elementary Scho Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5404 Hurley Wade Rd, Moss Point, MS 39562 Phone: 228-374-2494 |