Organization · Type 2 NPI

Coastal Family Health Center Inc

Federally Qualified Health Center (FQHC) · Leakesville, MS

NPI number 1457444606 Active

Practice location

620 Main Street
Leakesville, MS 39451

Fax (601) 394-5615

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 1457444606

Coastal Family Health Center Inc's National Provider Identifier is 1457444606, issued on Oct 2, 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.