Organization
COASTAL FAMILY HEALTH CENTER, INC.
Active
Other names
CFHC-Gulfport Health Center Extensioin
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE GREER (CHIEF EXECUTIVE OFFICER)
(228) 374-2494
Entity
Organization
Contact information
Practice address
1408 44TH AVE, GULFPORT, MS 39501-2554
(228) 374-2494
(228) 374-0856
Mailing address
PO BOX 475, BILOXI, MS 39533-0475
(228) 374-2494
(228) 374-0856
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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