institution
Coastal Family Health Center, Inc.
Federally Qualified Health Center (FQHC) in Moss Point, Mississippi
NPI 1508897000

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 Moss Point, MS. The NPI Number for Coastal Family Health Center, Inc. is 1508897000 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center, Inc. is 4913 Weems Street, Moss Point, MS and can be reached out via phone at 228-474-7103 and via fax at 228-474-7103.

Location: 4913 Weems Street, Moss Point, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1508897000
Provider Name
Coastal Family Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
4913 Weems Street, Moss Point, MS, 39503-4634
Phone Number
228-474-7103
Fax Number
228-474-7103
Provider Enumeration Date
07/05/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C00895 01 MS MEDICARE
01903304 05 MS
institution
Provider Business Practice Location Address Details
Address
4913 Weems Street
City
State
Zip
39563
Phone Number
228-474-7103
Fax Number
228-474-7103
person
Provider Business Mailing Address Details
Address
4913 Weems Street
City
State
Zip
39563
Phone Number
228-474-7103
Fax Number
228-474-7103
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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