Organization · Type 2 NPI

Coastal Family Health Center, Inc

Federally Qualified Health Center (FQHC) · Waveland, MS

NPI number 1669137444 Active

Practice location

1101 Saint Joseph St
Waveland, MS 39576-2528

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...

NPI record

NPI: 1669137444
Entity type: Organization (Type 2)
Issued: Nov 5, 2021
Last updated: Aug 16, 2024
Status: Active

Other names

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Coastal Family Health Center, Inc - Waveland Elementary School Clinic · doing business as
Coastal Family Health Center, Inc - Waveland Elementary School Clinic · doing business as

Authorized official

Angelique Greer
CEO
(228) 374-2494

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669137444

Coastal Family Health Center, Inc's National Provider Identifier is 1669137444, issued on Nov 5, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Waveland, MS. The record was last updated on Aug 16, 2024.