institution
Coastal Family Health Center, Inc
Federally Qualified Health Center (FQHC) in Vancleave, Mississippi
NPI 1104814359

Coastal Family Health Center, Inc is a Federally Qualified Health Center (FQHC) based in Gulfport, MS and is specialized in Federally Qualified Health Center (FQHC). Coastal Family Health Center, Inc practices in Vancleave, MS. The NPI Number for Coastal Family Health Center, Inc is 1104814359 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center, Inc is 10828 Highway 57, Vancleave, MS and can be reached out via phone at 228-826-4711 and via fax at 228-374-0856.

Location: 10828 Highway 57, Vancleave, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1104814359
Provider Name
Coastal Family Health Center, Inc
Credential
Provider Entity Type
Organization
Address
10828 Highway 57, Vancleave, MS, 39503-4634
Phone Number
228-826-4711
Fax Number
228-374-0856
Provider Enumeration Date
10/12/2005
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9011503 05 MS
C00895 01 MS MEDICARE
institution
Provider Business Practice Location Address Details
Address
10828 Highway 57
City
State
Zip
39565-8264
Phone Number
228-826-4711
Fax Number
228-374-0856
person
Provider Business Mailing Address Details
Address
10828 Highway 57
City
State
Zip
39565-8264
Phone Number
228-826-4711
Fax Number
228-374-0856
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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