Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
Coastal Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE M DAWSEY (EXECUTIVE DIRECTOR)
(228) 374-2494
Entity
Organization
Contact information
Practice address
1046 DIVISION ST, BILOXI, MS 39530-2935
(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
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04352209
—
MS
01
—
C00895
MEDICARE/MS CAHABA
MS
Enumeration date
10/12/2005
Last updated
04/14/2011
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