| Coastal Family Health Center Inc | |
|
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306 | |
| (228) 864-0003 | |
| (228) 374-0856 |
| Full Name | Coastal Family Health Center Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 15024 Martin Luther King Jr Blvd, Gulfport, Mississippi |
| Authorized Official Name and Position | Angelique S Greer (CEO) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Health Center Inc 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center Inc 15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306 Ph: (228) 864-0003 |
| NPI Number | 1033107289 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033107289 | NPI | - | NPPES |
| 9013184 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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