COASTAL FAMILY HEALTH CENTER, INC.


Address: 4913 Weems Street, Moss Point, MS 39563
Phone: 2284747103

COASTAL FAMILY HEALTH CENTER, INC. (NPI# 1508897000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508897000
Entity Type Organization
Organization Name COASTAL FAMILY HEALTH CENTER, INC.
Other Organization Name COASTAL FAMILY HEALTH CENTER
Practice Address 4913 Weems Street
Moss Point
MS 39563
Mailing Address Po Box 475
Biloxi
MS 39533
Practice Telephone 2284747103
Practice Fax Number 2284747103
Mailing Telephone 2283742494
Mailing Fax Number 2283740856
Enumeration Date 2006-07-05
Last Update Date 2008-08-27
Authorized Official Name JOE M DAWSEY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2283742494
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 01903304 05
MS MEDICARE C00895 01

Other Provider/Organization Names

Other Name Type Code
Coastal Family Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427364397 Coastal Family Health Center, Inc. Clinic/Center 1408 44th Ave, Gulfport, MS 39501-2554 2010-08-30
1629309117 Coastal Family Health Center, Inc. Clinic/Center 3446 Big Ridge Rd, Diberville, MS 39540-2421 2010-01-22
1801102793 Coastal Family Health Center, Inc. Clinic/Center 257 Davis Ave Ste A, Pass Christian, MS 39571-4541 2010-08-30
1740417922 Coastal Family Health Center, Inc. Pharmacy 1025 Division St, Ste A, Biloxi, MS 39530-2906 2009-06-16
1679581599 Coastal Family Health Center, Inc. Clinic/Center 4770 Amoco Dr, Moss Point, MS 39563-9627 2006-08-04
1841220357 Coastal Family Health Center, Inc. Clinic/Center 15024 Martin Luther King Jr Blvd, Gulfport, MS 39503 2006-07-03

Office Location

Street Address 4913 WEEMS STREET
City MOSS POINT
State MS
Zip Code 39563

Providers in the same zip code

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
1417988916 Coastal Family Health Center Clinic/Center 6602 Orange Grove Road, 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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1417988916 Coastal Family Health Center Clinic/Center 6602 Orange Grove Road, 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

Providers in the same taxonomy and state

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
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Competitor

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City MOSS POINT
Zip Code 39563

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Dataset Information

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.

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