| Family First Health Clinic, Pa | |
|
4612 Oleander Dr Ste 102 Myrtle Beach SC 29577-5711 | |
| (843) 945-8117 | |
| (843) 945-8124 |
| Full Name | Family First Health Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4612 Oleander Dr Ste 102, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Chrystal M Coates-gal (PRESIDENT/OWNER) |
| Authorized Official Contact | 8439458117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Health Clinic, Pa 4612 Oleander Dr Ste 102 Myrtle Beach SC 29577-5711 Ph: (843) 945-8117 | Family First Health Clinic, Pa 4612 Oleander Dr Ste 102 Myrtle Beach SC 29577-5711 Ph: (843) 945-8117 |
| NPI Number | 1285288225 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 06/15/2021 |
| Medicare PECOS PAC ID | 9537499785 |
|---|---|
| Medicare Enrollment ID | O20191001002210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285288225 | NPI | - | NPPES |
| 378460 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Chrystal M Coates-gal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972941649 PECOS PAC ID: 7214244102 Enrollment ID: I20150909001528 |
| Provider Name | Almog Gal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225338650 PECOS PAC ID: 5496994998 Enrollment ID: I20150910002125 |
| Provider Name | Emily N De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077430 PECOS PAC ID: 2163850223 Enrollment ID: I20200324001100 |
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