Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
COASTAL FAMILY HEALTH PEDIATRIC CENTER, COASTAL FAMILY HEALTH CENTER, INC - BILOXI PEDIATRIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIQUE GREER CEO (CHIEF EXECUTIVE OFFICER)
(228) 374-2494
Entity
Organization
Contact information
Practice address
735 DIVISION ST, BILOXI, MS 39530-2213
(228) 374-2494
(228) 374-2713
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
Enumeration date
10/30/2012
Last updated
08/16/2024
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