Coastal Family Health Center

LBN: Coastal Family Health Center Inc
Coastal Family Health Center is an health care organization with primary practice located at 15024 Martin Luther King Jr Blvd , Gulfport MS 39501-8306. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Coastal Family Health Center Inc can be contacted via phone (228) 864-0003, or through Dawsey, Joe M via phone (228) 374-2494.

Contact Information

Primary practice address
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306
Phone: (228) 864-0003
Fax: (228) 374-0856
Website:
Map and Directions
Authorized official contact:
Name: Dawsey, Joe M
Phone: (228) 374-2494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1033107289
LBN Legal business name Coastal Family Health Center Inc
DBA Doing business as Coastal Family Health Center
Authorized official Dawsey, Joe M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033107289 NPPES
Mississippi MEDICAID 9013184

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