Coastal Family Health Center, Inc - Waveland Elementary School Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Waveland, Mississippi. The current practice location for Coastal Family Health Center, Inc - Waveland Elementary School Clinic is 1101 Saint Joseph St, Waveland, Mississippi. For appointments, you can reach them via phone at
(228) 374-2494. The mailing address for Coastal Family Health Center, Inc - Waveland Elementary School Clinic is 10467 Corporate Dr, Gulfport, Mississippi and phone number is (228) 374-2494.
Coastal Family Health Center, Inc - Waveland Elementary School Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1669137444. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(228) 374-2494.
Primary Care Clinic Profile
| Full Name | Coastal Family Health Center, Inc - Waveland Elementary School Clinic |
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| Speciality | Clinic/Center |
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| Location | 1101 Saint Joseph St, Waveland, Mississippi |
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| Authorized Official Name and Position | Angelique Greer (CEO) |
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| Authorized Official Contact | 2283742494 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Coastal Family Health Center, Inc - Waveland Elementary School Clinic
10467 Corporate Dr
Gulfport
MS 39503-4634
Ph: (228) 374-2494 | Coastal Family Health Center, Inc - Waveland Elementary School Clinic
1101 Saint Joseph St
Waveland
MS 39576-2528
Ph: (228) 374-2494 |
NPI Details:
| NPI Number | 1669137444 |
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| Provider Enumeration Date | 11/05/2021 |
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| Last Update Date | 08/16/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8628989654 |
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| Medicare Enrollment ID | O20220412000204 |
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Medical Identifiers
Medical identifiers for Coastal Family Health Center, Inc - Waveland Elementary School Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669137444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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