COASTAL FAMILY HEALTH CENTER, INC


Address: 175 Annex Rd, Leakesville, MS 39451-9602
Phone: 6013945093

COASTAL FAMILY HEALTH CENTER, INC (NPI# 1700979960) 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) 1700979960
Entity Type Organization
Organization Name COASTAL FAMILY HEALTH CENTER, INC
Other Organization Name COASTAL FAMILY HEALTH CENTER, INC - ANNEX SCHOOL CLINIC
Practice Address 175 Annex Rd
Leakesville
MS 39451-9602
Mailing Address Po Box 475
Biloxi
MS 39533-0475
Practice Telephone 6013945093
Practice Fax Number 6013946061
Mailing Telephone 2283742494
Mailing Fax Number 2283742713
Enumeration Date 2006-10-02
Last Update Date 2018-04-24
Authorized Official Name MRS. ANGELIQUE GREER (CEO)
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 01429351 05

Other Provider/Organization Names

Other Name Type Code
Coastal Family Health Center, Inc - Annex School Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

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
1124016209 Coastal Family Health Center, Inc Clinic/Center 109 Hospital Dr, Bay St Louis, MS 39520-1604 2005-10-12

Office Location

Street Address 175 ANNEX RD
City LEAKESVILLE
State MS
Zip Code 39451-9602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679122477 Kayla Dobbins Pharmacist 1017 Highway 57, Leakesville, MS 39451 2019-09-05
1124677927 Dobbins Family Pharmacy LLC Pharmacy 1017 Highway 57 S, Leakesville, MS 39451 2019-09-05
1235791153 Franklin Wayne Hodges Jr. Pharmacist 411 Saint Frances St, Leaksville, MS 39451 2019-07-01
1033637657 Amber Plummer Pharmacist 951 Main Street, Leakesville, MS 39451 2017-09-04
1902031123 Greene Area Medical Extenders, Inc Clinic/Center 82 Church Street, State Line, MS 39451 2009-05-18
1891979597 Franklin Mcgrew Physician Assistant 22689 Highway 63 North, Leakesville, MS 39451 2007-12-18
1265656391 Gilberto Patino Nursing Facility/Intermediate Care Facility 419 Elizabeth Drive, Leakesville, MS 39451 2007-04-12
1346394442 Hodges Pharmacy Pharmacist 413 St Francis St, Leakesville, MS 39451 2007-01-23
1457444606 Coastal Family Health Center Inc Clinic/Center 620 Main Street, Leakesville, MS 39451 2006-10-02
1639286941 Eva S Wheeless Nurse Practitioner 1616 Williams Drive, Leakesville, MS 39451 2006-08-23
Find all providers in zip 39451

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
1366515470 Coastal Family Health Center Inc Clinic/Center 4336 High School Rd, Leakesville, MS 39451-2584 2006-11-16
1457444606 Coastal Family Health Center Inc Clinic/Center 620 Main Street, Leakesville, MS 39451 2006-10-02
1801999479 Coastal Family Health Center Inc Clinic/Center 1616 Williams Drive, Leakesville, MS 39451 2006-09-07

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
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

Competitor

Search similar providers

City LEAKESVILLE
Zip Code 39451

Improve Information

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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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