| Coastal Family Health Center, Inc - Magnolia School Clinic | |
|
4630 Magnolia St Moss Point MS 39563-2659 | |
| (228) 475-1429 | |
| Not Available |
| Full Name | Coastal Family Health Center, Inc - Magnolia School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4630 Magnolia St, Moss Point, 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 - Magnolia School Clinic Po Box 475 Biloxi MS 39533-0475 Ph: (228) 374-2494 | Coastal Family Health Center, Inc - Magnolia School Clinic 4630 Magnolia St Moss Point MS 39563-2659 Ph: (228) 475-1429 |
| NPI Number | 1548711120 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20170710001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548711120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Allgood Family Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9930 Saracennia Rd, Moss Point, MS 39562 Phone: 228-475-7877 Fax: 228-475-8085 | |
Coastal Family Health Center, Inc - Kreole School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6312 Martin Luther King Blvd, Moss Point, MS 39563 Phone: 228-475-3719 | |
Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Orange Grove Road, Moss Point, MS 39563 Phone: 228-473-9945 Fax: 228-475-3747 | |
Coastal Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4913 Weems Street, Moss Point, MS 39563 Phone: 228-474-7103 Fax: 228-474-7103 | |
Moss Point Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Griffin St, Moss Point, MS 39563 Phone: 228-355-0719 Fax: 228-475-4039 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5404 Hurley Wade Rd, Moss Point, MS 39562 Phone: 228-374-2494 |