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Contact Information

COASTAL FAMILY HEALTH CENTER
10828 HIGHWAY 57
VANCLEAVE, MS39565
 Phone: 228-826-4711
 Fax: 228-826-5929
 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

NPI Number 1619908118
LBN Legal business name COASTAL FAMILY HEALTH CENTER
Authorized official JOE DAWSEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS Medicaid 09011503
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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