| Coastal Family Health Center, Inc | |
|
715a Division St Biloxi MS 39530-2209 | |
| (228) 374-4991 | |
| (228) 396-3457 |
| Full Name | Coastal Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 715a Division St, Biloxi, Mississippi |
| Authorized Official Name and Position | Angelique S Greer (CEO) |
| Authorized Official Contact | 2283742494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Health Center, Inc 10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | Coastal Family Health Center, Inc 715a Division St Biloxi MS 39530-2209 Ph: (228) 374-4991 |
| NPI Number | 1821086083 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20080904000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086083 | NPI | - | NPPES |
| 9013185 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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Regional Digestive Specialists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15012 Lemoyne Blvd, Biloxi, MS 39532 Phone: 228-392-5787 Fax: 228-354-9169 | |
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