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16230 Highway 603 Kiln MS 39556-8177 | |
(228) 255-5200 | |
(228) 255-5250 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 16230 Highway 603, Kiln, Mississippi |
Authorized Official Name and Position | Guy Ken Smith (DIRECTOR OPERATIONS) |
Authorized Official Contact | 9858987091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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149 Drinkwater Blvd. Bay St Louis MS 39520 Ph: (228) 467-8700 | 16230 Highway 603 Kiln MS 39556-8177 Ph: (228) 255-5200 |
NPI Number | 1225347552 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 01/13/2014 |
Identifier | Type | State | Issuer |
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1225347552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7084 Stennis Airport Rd, Kiln, MS 39556 Phone: 228-374-2494 Fax: 228-396-3457 |