institution
Coastal Family Health Center Inc
Federally Qualified Health Center (FQHC) in State Line, Mississippi
NPI 1528161197

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 State Line, MS. The NPI Number for Coastal Family Health Center Inc is 1528161197 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center Inc is 256 Main St, State Line, MS and can be reached out via phone at 601-848-7912 and via fax at 601-848-7461.

Location: 256 Main St, State Line, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1528161197
Provider Name
Coastal Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
256 Main St, State Line, MS, 39503-4634
Phone Number
601-848-7912
Fax Number
601-848-7461
Provider Enumeration Date
09/07/2006
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09228250 05 MS
institution
Provider Business Practice Location Address Details
Address
256 Main St
City
State
Zip
39362-9499
Phone Number
601-848-7912
Fax Number
601-848-7461
person
Provider Business Mailing Address Details
Address
256 Main St
City
State
Zip
39362-9499
Phone Number
601-848-7912
Fax Number
601-848-7461
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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