Organization
COASTAL FAMILY HEALTH CENTER INC
Active
Other names
Coastal Family Health Center Inc - Sand Hill School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIQUE GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
39455 HIGHWAY 63 NORTH, RICHTON, MS 39476
(601) 989-3105
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05333371
—
MS
Enumeration date
10/04/2006
Last updated
08/16/2024
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