| Coastal Family Health Center, Inc | |
|
257 Davis Ave Pass Christian MS 39571-4541 | |
| (228) 374-2494 | |
| (228) 396-3457 |
| Full Name | Coastal Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 257 Davis Ave, Pass Christian, Mississippi |
| Authorized Official Name and Position | Angelique 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 257 Davis Ave Pass Christian MS 39571-4541 Ph: (228) 374-2494 |
| NPI Number | 1659950202 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20211215000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659950202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hancock Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 Kapalama Dr, Pass Christian, MS 39571 Phone: 228-467-8700 Fax: 228-467-8799 | |
Heartland Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13472 Vidalia Rd, Pass Christian, MS 39571 Phone: 228-344-0039 | |
Coastal Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 257 Davis Ave Ste A, Pass Christian, MS 39571 Phone: 228-374-2494 Fax: 228-374-0856 |