Organization
COASTAL GATEWAY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEY SMITH MHA (CHIEF EXECUTIVE OFFICER)
(409) 296-4444
Entity
Organization
Contact information
Practice address
2584 STATE HIGHWAY 124, WINNIE, TX 77665-7889
(409) 296-4444
Mailing address
2584 STATE HIGHWAY 124, WINNIE, TX 77665-7889
(409) 296-4444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
07/14/2026
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