institution
Coastal Family Health Center Inc
Federally Qualified Health Center (FQHC) in Leakesville, Mississippi
NPI 1366515470

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 Leakesville, MS. The NPI Number for Coastal Family Health Center Inc is 1366515470 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center Inc is 4336 High School Rd, Leakesville, MS and can be reached out via phone at 601-394-6830 and via fax at 601-394-6831.

Location: 4336 High School Rd, Leakesville, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1366515470
Provider Name
Coastal Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
4336 High School Rd, Leakesville, MS, 39503-4634
Phone Number
601-394-6830
Fax Number
601-394-6831
Provider Enumeration Date
11/16/2006
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
06887066 05 MS
institution
Provider Business Practice Location Address Details
Address
4336 High School Rd
City
State
Zip
39451-2584
Phone Number
601-394-6830
Fax Number
601-394-6831
person
Provider Business Mailing Address Details
Address
4336 High School Rd
City
State
Zip
39451-2584
Phone Number
601-394-6830
Fax Number
601-394-6831
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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