National Provider Identifier Database

COASTAL FAMILY HEALTH CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COASTAL FAMILY HEALTH CENTER
10828 HIGHWAY 57
VANCLEAVE, MS39565
Phone: 228-826-4711
Fax: 228-826-5929
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for COASTAL FAMILY HEALTH CENTER

NPI Number 1619908118
Legal business name
LBN
COASTAL FAMILY HEALTH CENTER
Authorized official JOE DAWSEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 09011503

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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