| Coastal Family Health Center, Inc - Vancleave High School Clinic | |
|
12424 Highway 57 Vancleave MS 39565-8608 | |
| (228) 374-2494 | |
| Not Available |
| Full Name | Coastal Family Health Center, Inc - Vancleave High School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12424 Highway 57, Vancleave, 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 - Vancleave High School Clinic 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center, Inc - Vancleave High School Clinic 12424 Highway 57 Vancleave MS 39565-8608 Ph: (228) 374-2494 |
| NPI Number | 1871193722 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20201116001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871193722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Coastal Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10828 Highway 57, Vancleave, MS 39565 Phone: 228-826-4711 Fax: 228-374-0856 | |
Vancleave Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11700 Highway 57, Vancleave, MS 39565 Phone: 228-826-1482 | |
Whole Family Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10404 Tucker Rd, Vancleave, MS 39565 Phone: 228-354-9505 | |
Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10828 Highway 57, Vancleave, MS 39565 Phone: 228-826-4711 Fax: 228-826-5929 | |
Coastal Family Health Center, Inc - Vancleave Upper Elementary Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13901 Highway 57, Vancleave, MS 39565 Phone: 228-374-2494 |