| Coastal Family Health Center, Inc - Green High School Clinic | |
|
4336 High School Rd Leakesville MS 39451-2584 | |
| (601) 394-6830 | |
| (601) 394-6831 |
| Full Name | Coastal Family Health Center, Inc - Green High School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4336 High School Rd, Leakesville, 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 - Green High School Clinic 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center, Inc - Green High School Clinic 4336 High School Rd Leakesville MS 39451-2584 Ph: (601) 394-6830 |
| NPI Number | 1366515470 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20170804000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366515470 | NPI | - | NPPES |
| 06887066 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Coastal Family Health Center, Inc - Junior High School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Main Street, Leakesville, MS 39451 Phone: 601-394-4507 Fax: 601-394-5615 | |
Greene County Clinic Hospital Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-8181 Fax: 601-947-4411 | |
Greene County Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-394-2820 Fax: 601-394-2827 | |
Coastal Family Health Center, Inc - Annex School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Annex Rd, Leakesville, MS 39451 Phone: 601-394-5093 Fax: 601-394-6061 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 | |
Greene Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-394-4135 Fax: 601-394-4455 |