Organization · Type 2 NPI

Coastal Family Health Center Inc

Federally Qualified Health Center (FQHC) · Leakesville, MS

NPI number 1366515470 Active

Practice location

4336 High School Rd
Leakesville, MS 39451-2584

Fax (601) 394-6831

Mailing address

10467 Corporate Dr
Gulfport, MS 39503-4634

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1366515470

Coastal Family Health Center Inc's National Provider Identifier is 1366515470, issued on Nov 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Leakesville, MS. The record was last updated on Aug 16, 2024.