| Coastal Family Health Center Inc - Hancock North Central Elementary Sc | |
|
6122 Cuevas Town Rd Kiln MS 39556-6068 | |
| (228) 374-2494 | |
| (228) 396-3457 |
| Full Name | Coastal Family Health Center Inc - Hancock North Central Elementary Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6122 Cuevas Town Rd, Kiln, Mississippi |
| Authorized Official Name and Position | Angleique 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 - Hancock North Central Elementary Sc 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center Inc - Hancock North Central Elementary Sc 6122 Cuevas Town Rd Kiln MS 39556-6068 Ph: (228) 374-2494 |
| NPI Number | 1356122667 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20240109004562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356122667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hancock Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16230 Highway 603, Kiln, MS 39566 Phone: 228-255-5200 Fax: 228-255-5250 | |
Hancock Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16230 Highway 603, Kiln, MS 39556 Phone: 228-255-5200 Fax: 228-255-5250 | |
Coastal Family Health Center Inc Hancock Middle School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7070 Stennis Airport Rd, Kiln, MS 39556 Phone: 228-374-2494 | |
Coastal Family Health Center, Inc - East Hancock Elementary School Cl Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4221 Kiln Delisle Rd, Kiln, MS 39556 Phone: 228-374-2494 Fax: 228-396-3457 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7084 Stennis Airport Rd, Kiln, MS 39556 Phone: 228-374-2494 Fax: 228-396-3457 |