COASTAL FAMILY HEALTH CENTER INC (NPI# 1033107289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033107289 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER INC |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER |
| Practice Address |
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306 |
| Mailing Address |
Po Box 475 Biloxi MS 39533-0475 |
| Practice Telephone | 2288640003 |
| Practice Fax Number | 2283740856 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283740856 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOE M DAWSEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2283742494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9013184 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583305 | Coastal Family Health Center Inc | Pharmacy | 9113 Highway 49 Ste 200, Gulfport, MS 39503-4330 | 2016-04-13 |
| 1366515470 | Coastal Family Health Center Inc | Clinic/Center | 4336 High School Rd, Leakesville, MS 39451-2584 | 2006-11-16 |
| 1306931431 | Coastal Family Health Center Inc | Clinic/Center | 39455 Highway 63 North, Richton, MS 39476 | 2006-10-04 |
| 1457444606 | Coastal Family Health Center Inc | Clinic/Center | 620 Main Street, Leakesville, MS 39451 | 2006-10-02 |
| 1356444921 | Coastal Family Health Center Inc | Clinic/Center | 300 Shows St, Mclain, MS 39456 | 2006-09-07 |
| 1942298195 | Coastal Family Health Center Inc | Clinic/Center | 23453 Central Dr, Saucier, MS 39574-7521 | 2005-10-12 |
| 1255329314 | Coastal Family Health Center Inc | Clinic/Center | 6601 Orange Grove Rd, Moss Point, MS 39563-3425 | 2005-10-12 |
| 1801999479 | Coastal Family Health Center Inc | Clinic/Center | 1616 Williams Drive, Leakesville, MS 39451 | 2006-09-07 |
| 1528161197 | Coastal Family Health Center Inc | Clinic/Center | 256 Main St, State Line, MS 39362-9499 | 2006-09-07 |
| 1427046408 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| Street Address |
15024 MARTIN LUTHER KING JR BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477010866 | Sabrina V Barnett | Family Medicine | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2019-02-21 |
| 1265960553 | Rebekah Faith Daniels | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2017-05-31 |
| 1992152979 | Lindsey Vining | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2016-05-19 |
| 1922409531 | Theresa Foley | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2014-09-15 |
| 1578826558 | Erin Fox | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2012-06-24 |
| 1124288501 | Coastal Family Health Center | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2008-06-10 |
| 1982783759 | Donna Schmitt | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-11-03 |
| 1083714612 | Jonette Scott | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-09-24 |
| 1841220357 | Coastal Family Health Center, Inc. | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39503 | 2006-07-03 |
| 1184693723 | Paul J Rouse | Dentist | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046408 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
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|---|---|---|---|---|
| 1548720568 | First Choice Family Healthcare Clinic Pllc | Clinic/Center | 119 S Oak Ste 2, Raymond, MS 39154-4205 | 2019-03-25 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
| 1144407420 | Southwest Health Agency for Rural People, Inc | Clinic/Center | 501 Eagle Day Ave, Columbia, MS 39429-3605 | 2008-01-29 |
| 1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
| 1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
| 1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.