Organization
COASTAL FAMILY HEALTH CENTER, INC.
Active
Other names
Coastal Family Health Center, Inc - Wiggins Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE S GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
1407 CENTRAL AVE E, WIGGINS, MS 39577-9611
(601) 385-0077
(601) 385-0078
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
(228) 396-3457
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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