| Coastal Family Health Center | |
|
4913 Weems Street Moss Point MS 39563 | |
| (228) 474-7103 | |
| (228) 474-7103 |
| Full Name | Coastal Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4913 Weems Street, Moss Point, Mississippi |
| Authorized Official Name and Position | Angelique S Greer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Health Center 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center 4913 Weems Street Moss Point MS 39563 Ph: (228) 474-7103 |
| NPI Number | 1508897000 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508897000 | NPI | - | NPPES |
| C00895 | Other | MS | MEDICARE |
| 01903304 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Coastal Family Health Center, Inc - Magnolia School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4630 Magnolia St, Moss Point, MS 39563 Phone: 228-475-1429 | |
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