Organization · Type 2 NPI
Coastal Family Health Center, Inc.
Federally Qualified Health Center (FQHC) · Diberville, MS
NPI number
1629309117
Active
Practice location
3446 Popps Ferry Rd
Diberville, MS 39540-2421
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...
2 other providers at this address
About NPI 1629309117
Coastal Family Health Center, Inc.'s National Provider Identifier is 1629309117, issued on Jan 22, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Diberville, MS. The record was last updated on Aug 16, 2024.