| Coastal Family Health Center | |
|
10828 Highway 57 Vancleave MS 39565-8264 | |
| (228) 826-4711 | |
| (228) 374-0856 |
| Full Name | Coastal Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10828 Highway 57, Vancleave, Mississippi |
| Authorized Official Name and Position | Angelique S 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 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center 10828 Highway 57 Vancleave MS 39565-8264 Ph: (228) 826-4711 |
| NPI Number | 1104814359 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20030924000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104814359 | NPI | - | NPPES |
| 9011503 | Medicaid | MS | |
| C00895 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 High School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12424 Highway 57, Vancleave, MS 39565 Phone: 228-374-2494 | |
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 |