COASTAL FAMILY HEALTH CENTER, INC. (NPI# 1841220357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841220357 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER, INC. |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER |
| Practice Address |
15024 Martin Luther King Jr Blvd Gulfport MS 39503 |
| Mailing Address |
Po Box 475 Biloxi MS 39533 |
| Practice Telephone | 2288640003 |
| Practice Fax Number | 2288637917 |
| Mailing Telephone | 2288182766 |
| Mailing Fax Number | 2288182394 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS/MEDICARE/CAHABA | C00895 | 01 |
| MS | 09013184 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center | Doing Business As Name - Organization |
| 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 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 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 |
| Street Address |
15024 MARTIN LUTHER KING JR BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| 1477010866 | Sabrina V Barnett | Family Medicine | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2019-02-21 |
| 1265960553 | Rebekah Faith Daniels | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2017-05-31 |
| 1992152979 | Lindsey Vining | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2016-05-19 |
| 1922409531 | Theresa Foley | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2014-09-15 |
| 1578826558 | Erin Fox | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2012-06-24 |
| 1124288501 | Coastal Family Health Center | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2008-06-10 |
| 1982783759 | Donna Schmitt | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-11-03 |
| 1083714612 | Jonette Scott | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-09-24 |
| 1184693723 | Paul J Rouse | Dentist | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| 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 |
|---|---|---|---|---|
| 1427364397 | Coastal Family Health Center, Inc. | Clinic/Center | 1408 44th Ave, Gulfport, MS 39501-2554 | 2010-08-30 |
| 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.