Organization · Type 2 NPI

Coastal Family Health Center, Inc

Federally Qualified Health Center (FQHC) · Lucedale, MS

NPI number 1265226765 Active

Practice location

159 Mable St
Lucedale, MS 39452-5821

Call (228) 374-2494 Map

Mailing address

10467 Corporate Dr
Gulfport, MS 39503-4634

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Lucedale Intermediate SchoolStudent in an Organized Health Care Education/Training Program Lucedale, MS NPI 1790116838

Other federally qualified health center (fqhc) providers in Lucedale

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NPI record

NPI: 1265226765
Entity type: Organization (Type 2)
Issued: Apr 8, 2025
Last updated: Apr 8, 2025
Status: Active

Other names

Coastal Family Health Center, Inc · doing business as
Coastal Family Health Center, Inc LT Taylor Intermediate · doing business as

Authorized official

Angelique S Greer
CEO
(228) 374-2494

Verify this record

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About NPI 1265226765

Coastal Family Health Center, Inc's National Provider Identifier is 1265226765, issued on Apr 8, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lucedale, MS. The record was last updated on Apr 8, 2025.