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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