COASTAL FAMILY HEALTH CENTER, INC


Address: 12424 Highway 57, Vancleave, MS 39565-8608
Phone: 2283742494

COASTAL FAMILY HEALTH CENTER, INC (NPI# 1871193722) 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) 1871193722
Entity Type Organization
Organization Name COASTAL FAMILY HEALTH CENTER, INC
Practice Address 12424 Highway 57
Vancleave
MS 39565-8608
Mailing Address Po Box 475
Biloxi
MS 39533-0475
Practice Telephone 2283742494
Mailing Telephone 2283742494
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Authorized Official Name 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/Organization Names

Other Name Type Code
Coastal Family Health Center, Inc - Vancleave School Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 12424 HIGHWAY 57
City VANCLEAVE
State MS
Zip Code 39565-8608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548761950 Jake Wallace Carzoli Nurse Practitioner 11700 Ms-57, Vancleave, MS 39565 2018-02-22
1992129316 Ashlynn Evan Crum Speech-Language Pathologist 8728 Doobie Ct., Vancleave, MS 39565 2014-02-05
1851695720 Coast Nurse Practitioners, Inc. Nurse Practitioner 13300 R.s. Kimball Road, Vancleave, MS 39565 2011-01-06
1538484761 Sarah Burke Speech-Language Pathologist 477 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
1194058842 Jackson County School District Local Education Agency (LEA) 4700 Colonel Vickrey Road, Vancleave, MS 39565 2009-09-14
1962566224 John Michael Martin Nurse Practitioner 1330 R S Kimball, Vancleave, MS 39565 2006-12-21
1619919156 Lennon E. Bowen Iv Psychiatry & Neurology 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2006-06-11
1396233490 Dorian R Blake Nurse Practitioner 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2018-04-25
1164971867 Clarissa Picard Occupational Therapist 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 2016-09-23
1629427174 Amanda Rayburn Registered Nurse 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2016-06-06
Find all providers in zip 39565

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
1104814359 Coastal Family Health Center, Inc Clinic/Center 10828 Highway 57, Vancleave, MS 39565-8264 2005-10-12
1619908118 Coastal Family Health Center Clinic/Center 10828 Highway 57, Vancleave, MS 39565 2006-07-05

Providers in the same taxonomy and state

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
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

Competitor

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City VANCLEAVE
Zip Code 39565

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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