Organization · Type 2 NPI

Coastal Family Health Center, Inc

Federally Qualified Health Center (FQHC) · Leakesville, MS

NPI number 1700979960 Active

Practice location

175 Annex Rd
Leakesville, MS 39451-9602

Fax (601) 394-6061

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 1700979960

Coastal Family Health Center, Inc's National Provider Identifier is 1700979960, 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.