Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
Coastal Family Health Center, Inc - Medical/Dental Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
739 DIVISION ST, BILOXI, MS 39530-2210
(228) 374-2494
(228) 374-2713
Mailing address
PO BOX 475, BILOXI, MS 39533-0475
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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