| Coastal Family Health Center Inc | |
|
23453 Central Dr Saucier MS 39574-7521 | |
| (228) 832-7223 | |
| (228) 374-0856 |
| Full Name | Coastal Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23453 Central Dr, Saucier, 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 23453 Central Dr Saucier MS 39574-7521 Ph: (228) 832-7223 |
| NPI Number | 1942298195 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8628989654 |
|---|---|
| Medicare Enrollment ID | O20031103000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942298195 | NPI | - | NPPES |
| C00895 | Other | MS | MEDICARE |
| 9010021 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23457a Central Drive, Saucier, MS 39574 Phone: 228-832-7223 Fax: 228-832-0657 |