| Coastal Family Health Center | |
|
683 Division St Biloxi MS 39530-2213 | |
| (228) 374-4993 | |
| Not Available |
| Full Name | Coastal Family Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 683 Division St, Biloxi, Mississippi |
| Authorized Official Name and Position | Joe Dawsey (CEO) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Health Center 1046 Division St Biloxi MS 39530-2935 Ph: (228) 374-2494 | Coastal Family Health Center 683 Division St Biloxi MS 39530-2213 Ph: (228) 374-4993 |
| NPI Number | 1225298607 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225298607 | NPI | - | NPPES |
| 09013308 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Mississippi) | Primary |
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