COASTAL FAMILY HEALTH CENTER (NPI# 1417988916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417988916 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER |
| Practice Address |
6602 Orange Grove Road Moss Point MS 39563 |
| Mailing Address |
Po Box 475 Biloxi MS 39533 |
| Practice Telephone | 2284739945 |
| Practice Fax Number | 2284753747 |
| Mailing Telephone | 2288182766 |
| Mailing Fax Number | 2288182394 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOE M DAWSEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2288182766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06681754 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801284914 | Coastal Family Health Center | Clinic/Center | 471 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2014-12-26 |
| 1942369772 | Coastal Family Health Center | Clinic/Center | 2158 Exchange Street, Suite 304, Astoria, OR 97103-3419 | 2006-12-07 |
| 1578578290 | Coastal Family Health Center | Clinic/Center | Coastal Family Health Center, 5052 Ste A, Long Beach, MS 39560 | 2006-07-30 |
| 1487686580 | Coastal Family Health Center | Clinic/Center | 23457a Central Drive, Saucier, MS 39574 | 2006-07-07 |
| 1710399977 | Coastal Family Health Center | Clinic/Center | 401 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2014-05-22 |
| 1124288501 | Coastal Family Health Center | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2008-06-10 |
| 1225298607 | Coastal Family Health Center | Clinic/Center | 683 Division St, Biloxi, MS 39530-2213 | 2008-06-10 |
| 1619908118 | Coastal Family Health Center | Clinic/Center | 10828 Highway 57, Vancleave, MS 39565 | 2006-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL FAMILY HEALTH CENTER | 1046 Division St, Biloxi, MS 39530-2935 |
| Oregon Corporations, Companies and Business Names | COASTAL FAMILY HEALTH CENTER | 2158 Exchange St #304, Astoria, OR 97103 |
| Street Address |
6602 ORANGE GROVE ROAD |
| City | MOSS POINT |
| State | MS |
| Zip Code | 39563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596713 | Emmanuel Transit, LLC | Non-emergency Medical Transport (VAN) | 4337 Terrace Drive, Moss Point, MS 39563 | 2019-06-08 |
| 1134628985 | Kendra S Gardner | Nurse Practitioner | 3702 Jefferson St, Pascagoula, MS 39563 | 2018-02-07 |
| 1386186591 | Alice Smith | Counselor | 5007 Jefferson Street, Moss Point, MS 39563 | 2016-11-07 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 1285107466 | Miller Pharmacy | Pharmacy | 7818 Highway 613, Moss Point, MS 39563 | 2019-01-09 |
| 1629203153 | Clifford James Cook | Dentist | 4100 Mcinnis Ave, Moss Point, MS 39563-0000 | 2009-05-28 |
| 1518172568 | Moss Point Family Clinic | Clinic/Center | 5430 Griffin St, Moss Point, MS 39563-2003 | 2007-05-13 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1871073403 | Elizabeth Adair Beatty | Pharmacist | 4231 Dantzler St, Moss Point, MS 39563-2217 | 2018-08-14 |
| 1730244500 | F T Inc | Durable Medical Equipment & Medical Supplies | 3619 Marion Place, Moss Point, MS 39563-2227 | 2006-12-22 |
| Find all providers in zip 39563 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1619465705 | Coastal Family Health Center, Inc | Clinic/Center | 4208 Jamestown Rd, Moss Point, MS 39563-9540 | 2018-04-25 |
| 1306343694 | Coastal Family Health Center, Inc | Clinic/Center | 6312 Martin Luther King Blvd, Moss Point, MS 39563-6126 | 2018-04-12 |
| 1548711120 | Coastal Family Health Center, Inc | Clinic/Center | 4630 Magnolia St, Moss Point, MS 39563-2659 | 2016-10-19 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 1255329314 | Coastal Family Health Center Inc | Clinic/Center | 6601 Orange Grove Rd, Moss Point, MS 39563-3425 | 2005-10-12 |
| 1679581599 | Coastal Family Health Center, Inc. | Clinic/Center | 4770 Amoco Dr, Moss Point, MS 39563-9627 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| 1558929018 | Access Family Health Services, Inc. | Clinic/Center | 320 School Loop Dr, Tremont, MS 38876-8575 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MOSS POINT |
| Zip Code | 39563 |
Please comment or provide details below to improve the information on COASTAL FAMILY HEALTH CENTER.
| 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.