NPI:
1871193722
Provider Name:
COASTAL FAMILY HEALTH CENTER, INC
Doing Business As: COASTAL FAMILY HEALTH CENTER, INC - VANCLEAVE HIGH SCHOOL CLINIC
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
12424 HIGHWAY 57
VANCLEAVE, MS
ZIP 39565
Phone:
(228) 374-2494
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COASTAL FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Vancleave, MS. COASTAL FAMILY HEALTH CENTER, INC NPI is 1871193722. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Family Health Center, Inc - Vancleave High School Clinic.
The provider's business location address is:
12424 HIGHWAY 57
VANCLEAVE, MS
ZIP 39565-608
Phone: (228) 374-2494
The provider's authorized official is Angelique Greer .
The authorized official title is Ceo and has the following contact phone number (228) 374-2494.
The enumeration date for this NPI number is 10/29/2020 and was last updated on 10/8/2021.