Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Parent organization
COASTAL FAMILY HEALTH CENTER, INC
Other names
Coastal Family Health Center Inc - South Hancock Elementary School Cli
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL FAMILY HEALTH CENTER, INC
Authorized official
ANGELIQUE GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
6590 LAKESHORE RD, BAY ST LOUIS, MS 39520-9494
(228) 374-2494
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
08/16/2024
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