institution
Coastal Family Health Center Inc
Federally Qualified Health Center (FQHC) in Richton, Mississippi
NPI 1306931431

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 Richton, MS. The NPI Number for Coastal Family Health Center Inc is 1306931431 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center Inc is 39455 Highway 63 North, Richton, MS and can be reached out via phone at 601-989-3105.

Location: 39455 Highway 63 North, Richton, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1306931431
Provider Name
Coastal Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
39455 Highway 63 North, Richton, MS, 39503-4634
Phone Number
601-989-3105
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05333371 05 MS
institution
Provider Business Practice Location Address Details
Address
39455 Highway 63 North
City
State
Zip
39476
Phone Number
601-989-3105
Fax Number
person
Provider Business Mailing Address Details
Address
39455 Highway 63 North
City
State
Zip
39476
Phone Number
601-989-3105
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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