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Contact Information

COASTAL FAMILY HEALTH CENTER INC
39455 HIGHWAY 63 NORTH
RICHTON, MS39476
 Phone: 601-989-3105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for COASTAL FAMILY HEALTH CENTER INC

NPI Number 1306931431
LBN Legal business name COASTAL FAMILY HEALTH CENTER INC
Authorized official ANGELIQUE GREER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 08/16/2024 - More than a year ago
Identifiers
MS Medicaid 05333371
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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