COASTAL FAMILY HEALTH CENTER, INC (NPI# 1619465705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619465705 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER, INC |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER, INC - ESCATAWPA SCHOOL CLINIC |
| Practice Address |
4208 Jamestown Rd Moss Point MS 39563-9540 |
| Mailing Address |
Po Box 475 Biloxi MS 39533-0475 |
| Practice Telephone | 2284743300 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283742713 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | ANGELIQUE GREER (CEO) |
| Authorized Official Telephone | 2283742494 |
| 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 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center, Inc - Escatawpa School Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1861950982 | Coastal Family Health Center, Inc | Clinic/Center | 11231 Old 63 S, Lucedale, MS 39452-4941 | 2019-03-07 |
| 1306343694 | Coastal Family Health Center, Inc | Clinic/Center | 6312 Martin Luther King Blvd, Moss Point, MS 39563-6126 | 2018-04-12 |
| 1538610118 | Coastal Family Health Center, Inc | Clinic/Center | 739 Division St, Biloxi, MS 39530-2210 | 2016-10-19 |
| 1548711120 | Coastal Family Health Center, Inc | Clinic/Center | 4630 Magnolia St, Moss Point, MS 39563-2659 | 2016-10-19 |
| 1528312519 | Coastal Family Health Center, Inc | Clinic/Center | 735 Division St, Biloxi, MS 39530-2213 | 2012-10-30 |
| 1700979960 | Coastal Family Health Center, Inc | Clinic/Center | 175 Annex Rd, Leakesville, MS 39451-9602 | 2006-10-02 |
| 1124016209 | Coastal Family Health Center, Inc | Clinic/Center | 109 Hospital Dr, Bay St Louis, MS 39520-1604 | 2005-10-12 |
| Street Address |
4208 JAMESTOWN RD |
| City | MOSS POINT |
| State | MS |
| Zip Code | 39563-9540 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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, INC.
| 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.