institution
Coastal Family Health Center Inc
Federally Qualified Health Center (FQHC) in Leakesville, Mississippi
NPI 1801999479

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 1801999479 and holds a License No. (Mississippi).

The current practice location address for Coastal Family Health Center Inc is 951 Main St, Leakesville, MS and can be reached out via phone at 601-394-2381 and via fax at 601-394-2593.

Location: 951 Main St, Leakesville, MS, 39503-4634
institution
Provider Profile Details
NPI Number
1801999479
Provider Name
Coastal Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
951 Main St, Leakesville, MS, 39503-4634
Phone Number
601-394-2381
Fax Number
601-394-2593
Provider Enumeration Date
09/07/2006
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
C01007 01 MS MS MEDICARE
09010030 05 MS
institution
Provider Business Practice Location Address Details
Address
951 Main St
City
State
Zip
39451-5622
Phone Number
601-394-2381
Fax Number
601-394-2593
person
Provider Business Mailing Address Details
Address
951 Main St
City
State
Zip
39451-5622
Phone Number
601-394-2381
Fax Number
601-394-2593
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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