COASTAL FAMILY HEALTH CENTER, INC (NPI# 1629066782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629066782 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER, INC |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER |
| Practice Address |
1046 Division St Biloxi MS 39530-2935 |
| Mailing Address |
Po Box 475 Biloxi MS 39533-0475 |
| Practice Telephone | 2283742494 |
| Practice Fax Number | 2283740856 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283740856 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-04-14 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE/MS CAHABA | C00895 | 01 |
| MS | 04352209 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center | Doing Business As Name - 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 |
| 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 |
| 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 |
| Street Address |
1046 DIVISION ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39530-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003202391 | Meagan Parker | Social Worker | 1046 Division St, Biloxi, MS 39530-2935 | 2015-04-13 |
| 1477957132 | Robyn Wheeler | Nurse Practitioner | 1046 Division St, Biloxi, MS 39530-2935 | 2014-10-09 |
| 1053592220 | Sindy R Crowe | Counselor | 1046 Division St, Biloxi, MS 39530-2935 | 2007-11-16 |
| 1104010834 | Coastal Family Health Center, Inc | Clinic/Center | 1046 Division St, Biloxi, MS 39530-2935 | 2007-09-06 |
| 1487853412 | Gertrude Barnes Brundage | Pediatrics | 1046 Division St, Biloxi, MS 39530-2935 | 2007-07-11 |
| 1093919029 | Coastal Family Health Center, Inc | Clinic/Center | 1046 Division St, Biloxi, MS 39530-2935 | 2007-06-13 |
| 1356414908 | Michael D Dorcik | Family Medicine | 1046 Division St, Biloxi, MS 39530-2935 | 2006-11-15 |
| 1932202876 | Alchar G Jackson | Nurse Practitioner | 1046 Division St, Biloxi, MS 39530-2935 | 2006-09-06 |
| 1780796060 | Persharon M Dixon | Pediatrics | 1046 Division St, Biloxi, MS 39530-2935 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| 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 |
|---|---|---|---|---|
| 1538610118 | Coastal Family Health Center, Inc | Clinic/Center | 739 Division St, Biloxi, MS 39530-2210 | 2016-10-19 |
| 1528312519 | Coastal Family Health Center, Inc | Clinic/Center | 735 Division St, Biloxi, MS 39530-2213 | 2012-10-30 |
| 1821086083 | Coastal Family Health Center, Inc | Clinic/Center | 715a Division St, Biloxi, MS 39530-2209 | 2005-10-12 |
| 1104010834 | Coastal Family Health Center, Inc | Clinic/Center | 1046 Division St, Biloxi, MS 39530-2935 | 2007-09-06 |
| 1093919029 | Coastal Family Health Center, Inc | Clinic/Center | 1046 Division St, Biloxi, MS 39530-2935 | 2007-06-13 |
| 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 |
| 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 |
| 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.