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Organization

COASTAL FAMILY HEALTH CENTER

Active
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Organization

COASTAL FAMILY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE DAWSEY (CEO)
(228) 374-2494
Entity
Organization

Contact information

Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 863-9781
Mailing address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09013308
MS
Enumeration date
06/10/2008
Last updated
06/10/2008
About Stedi
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  • EDI platform