Coastal Family Health Center
LBN: Coastal Family Health Center, Inc
Coastal Family Health Center is an health care organization with primary practice located at 109 Hospital Dr , Bay St Louis MS 39520-1604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Coastal Family Health Center, Inc can be contacted via phone (228) 463-9666, or through Dawsey, Joe M via phone (228) 374-2494.
Contact Information
Primary practice address
109 Hospital Dr
Bay St Louis MS 39520-1604
Phone: (228) 463-9666
Fax: (228) 374-0856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Mississippi |
Profile Details
| NPI number | 1124016209 |
|---|---|
| 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 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124016209 | NPPES |
| Mississippi | Other | C00895 | MEDICARE/CAHABA |
| Mississippi | MEDICAID | 9014820 | MEDICARE/CAHABA |
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