Organization
COASTAL FAMILY HEALTH CENTER
Active
Other names
Coastal Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE M DAWSEY (EXECUTIVE DIRECTOR)
(228) 818-2766
Entity
Organization
Contact information
Practice address
6602 ORANGE GROVE ROAD, MOSS POINT, MS 39563
(228) 473-9945
(228) 475-3747
Mailing address
PO BOX 475, BILOXI, MS 39533
(228) 818-2766
(228) 818-2394
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06681754
—
MS
Enumeration date
07/05/2006
Last updated
08/22/2020
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