institution
Coastal Family Health Center, Inc
Federally Qualified Health Center (FQHC) in Leakesville, Mississippi
NPI 1700979960

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 1700979960 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center, Inc is 175 Annex Rd, Leakesville, MS and can be reached out via phone at 601-394-5093 and via fax at 601-394-6061.

Location: 175 Annex Rd, Leakesville, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1700979960
Provider Name
Coastal Family Health Center, Inc
Credential
Provider Entity Type
Organization
Address
175 Annex Rd, Leakesville, MS, 39503-4634
Phone Number
601-394-5093
Fax Number
601-394-6061
Provider Enumeration Date
10/02/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01429351 05 MS
institution
Provider Business Practice Location Address Details
Address
175 Annex Rd
City
State
Zip
39451-9602
Phone Number
601-394-5093
Fax Number
601-394-6061
person
Provider Business Mailing Address Details
Address
175 Annex Rd
City
State
Zip
39451-9602
Phone Number
601-394-5093
Fax Number
601-394-6061
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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