Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
Coastal Family Health Center, Inc - Vancleave Upper Elementary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE GREER (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
13901 HIGHWAY 57, VANCLEAVE, MS 39565-8306
(228) 374-2494
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 397-2494
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
08/16/2024
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