institution
Coastal Family Health Center Inc
Federally Qualified Health Center (FQHC) in Leakesville, Mississippi
NPI 1457444606

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 1457444606 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center Inc is 620 Main Street, Leakesville, MS and can be reached out via phone at 601-394-4507 and via fax at 601-394-5615.

Location: 620 Main Street, Leakesville, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1457444606
Provider Name
Coastal Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
620 Main Street, Leakesville, MS, 39503-4634
Phone Number
601-394-4507
Fax Number
601-394-5615
Provider Enumeration Date
10/02/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08703746 05 MS
institution
Provider Business Practice Location Address Details
Address
620 Main Street
City
State
Zip
39451
Phone Number
601-394-4507
Fax Number
601-394-5615
person
Provider Business Mailing Address Details
Address
620 Main Street
City
State
Zip
39451
Phone Number
601-394-4507
Fax Number
601-394-5615
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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