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COASTAL FAMILY HEALTH CENTER INC NPI 1104010834


NPI Information

NPI: 1104010834
Provider Name: COASTAL FAMILY HEALTH CENTER, INC

Doing Business As: CFHC MENTAL HEALTH MOBILE UNIT

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1046 DIVISION ST
BILOXI, MS
ZIP 39530
Phone: (228) 374-2494
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COASTAL FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Biloxi, MS. COASTAL FAMILY HEALTH CENTER, INC NPI is 1104010834. The provider is registered as an organization entity type.
The provider Is Doing Business As Cfhc Mental Health Mobile Unit.

The provider's business location address is:

1046 DIVISION ST
BILOXI, MS
ZIP 39530-935
Phone: (228) 374-2494
Fax: (228) 374-2713

The provider's authorized official is Joe M Dawsey .
The authorized official title is Executive Director and has the following contact phone number (228) 374-2494.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 10/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C00895OTHERMISSISSIPPIMEDICARE/MS CAHABA
2251971MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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