Organization · Type 2 NPI
Coastal Family Health Center, Inc
Federally Qualified Health Center (FQHC) · Lucedale, MS
NPI number
1588458079
Active
Practice location
6165 Highway 613
Lucedale, MS 39452-9701
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...
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About NPI 1588458079
Coastal Family Health Center, Inc's National Provider Identifier is 1588458079, 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.