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Organization
COASTAL FAMILY HEALTH CENTER INC
Active
Organization
COASTAL FAMILY HEALTH CENTER INC
Active
Other names
Coastal Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE M DAWSEY (EXECUTIVE DIRECTOR)
(228) 374-2494
Entity
Organization
Contact information
Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 863-9781
(229) 374-0856
Mailing address
PO BOX 475, BILOXI, MS 39533-0475
(228) 374-2494
(228) 374-0856
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9013308
—
MS
Enumeration date
10/12/2005
Last updated
08/22/2020
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