Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
Coastal Family Health Center, Inc LT Taylor Intermediate, Coastal Family Health Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE S GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
159 MABLE ST, LUCEDALE, MS 39452-5821
(228) 374-2494
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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