COASTAL FAMILY HEALTH CENTER INC NPI 1427046408

NPI Information

NPI: 1427046408
Provider Name: COASTAL FAMILY HEALTH CENTER INC

Former Legal Business Name: COASTAL FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS
ZIP 39501
Phone: (228) 863-9781
Get Directions

COASTAL FAMILY HEALTH CENTER INC is a community health clinic center in Gulfport, MS. COASTAL FAMILY HEALTH CENTER INC NPI is 1427046408. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Coastal Family Health Center.

The provider's business location address is:

15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS
ZIP 39501-306
Phone: (228) 863-9781
Fax: (229) 374-0856

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 10/12/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9013308	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »