Organization · Type 2 NPI
Coastal Family Health Center, Inc
Federally Qualified Health Center (FQHC) · Lucedale, MS
NPI number
1861950982
Active
Practice location
11231 Old 63 S
Lucedale, MS 39452-4941
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 1861950982
Coastal Family Health Center, Inc's National Provider Identifier is 1861950982, issued on Mar 7, 2019. 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 Aug 16, 2024.