# COASTAL FAMILY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366307936
- **Authorized official:** ANGELIQUE GREER (CEO)
- **Authorized official phone:** (228) 374-2494

## Contact information

- **Practice address:** 1015 HIGHWAY 90, BAY ST LOUIS, MS 39520-1524
- **Practice address phone:** (228) 374-2476
- **Mailing address:** 10467 CORPORATE DR, GULFPORT, MS 39503-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 12/17/2025