Organization
COASTAL FAMILY HEALTH CENTER, INC.
Active
Other names
Coastal Famil Health Center, D'Iberville Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELIQUE S GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
3446 POPPS FERRY RD, DIBERVILLE, MS 39540-2421
(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
01/22/2010
Last updated
08/16/2024
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