COASTAL FAMILY HEALTH CENTER INC (NPI# 1306931431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306931431 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER INC |
| Practice Address |
39455 Highway 63 North Richton MS 39476 |
| Mailing Address |
Po Box 475 Biloxi MS 39533-0475 |
| Practice Telephone | 6019893105 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283742713 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | MRS. ANGELIQUE GREER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2283742494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05333371 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583305 | Coastal Family Health Center Inc | Pharmacy | 9113 Highway 49 Ste 200, Gulfport, MS 39503-4330 | 2016-04-13 |
| 1366515470 | Coastal Family Health Center Inc | Clinic/Center | 4336 High School Rd, Leakesville, MS 39451-2584 | 2006-11-16 |
| 1457444606 | Coastal Family Health Center Inc | Clinic/Center | 620 Main Street, Leakesville, MS 39451 | 2006-10-02 |
| 1356444921 | Coastal Family Health Center Inc | Clinic/Center | 300 Shows St, Mclain, MS 39456 | 2006-09-07 |
| 1942298195 | Coastal Family Health Center Inc | Clinic/Center | 23453 Central Dr, Saucier, MS 39574-7521 | 2005-10-12 |
| 1255329314 | Coastal Family Health Center Inc | Clinic/Center | 6601 Orange Grove Rd, Moss Point, MS 39563-3425 | 2005-10-12 |
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| 1801999479 | Coastal Family Health Center Inc | Clinic/Center | 1616 Williams Drive, Leakesville, MS 39451 | 2006-09-07 |
| 1528161197 | Coastal Family Health Center Inc | Clinic/Center | 256 Main St, State Line, MS 39362-9499 | 2006-09-07 |
| 1427046408 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| Street Address |
39455 HIGHWAY 63 NORTH |
| City | RICHTON |
| State | MS |
| Zip Code | 39476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| 1518404136 | Mary Mcswain | Registered Nurse | 36a Amos Mcswain Rd, Richton, MS 39476 | 2017-01-20 |
| 1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
| 1689010209 | Par Medical Inc | Durable Medical Equipment & Medical Supplies | 156 Apple Avenue., Richton, MS 39476 | 2013-05-22 |
| 1164734109 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 403 N Front St, Richton, MS 39476 | 2010-07-07 |
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| 1851433585 | James Michael Pace | Family Medicine | 406 South Front Street, Richton, MS 39476 | 2007-02-12 |
| 1942233283 | Hattiesburg Clinic, Pa | Clinic/Center | 303 Red Bud Avenue, Richton, MS 39476 | 2006-07-09 |
| 1518913060 | Patricia Pearce Dykes | Nurse Practitioner | 210 Bay Ave.l, Richton, MS 39476 | 2006-05-26 |
| 1932190774 | John Malcolm Beaman | Family Medicine | 302 Bay Ave., Richton, MS 39476 | 2005-11-01 |
| Find all providers in zip 39476 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.