Coastal Family Health Center, Inc. in Moss Point - Federally Qualified Health Center (fqhc)
Coastal Family Health Center, Inc. - NPI 1508897000
Coastal Family Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Moss Point, Mississippi. Coastal Family Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Coastal Family Health Center, Inc. is 1508897000. The last update date is 2008-08-27.
Coastal Family Health Center, Inc.'s current location address is 4913 Weems Street, Moss Point, Mississippi. You can contact this provider via phone number 2284747103 and fax number 2284747103. The mailing address for Coastal Family Health Center, Inc. is 4913 Weems Street, Moss Point, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Family Health Center, Inc. |
|---|---|
| Address | 4913 Weems Street, Moss Point, Mississippi |
| Phone Number | 2284747103 |
| Fax Number | 2284747103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Dawsey M Joe |
| Telephone Number | 2283742494 |
NPI Number Detail
| NPI Number | 1508897000 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2008-08-27 |
Provider Mailing Address Detail
| Address | 4913 Weems Street |
|---|---|
| City | Moss Point |
| State | Mississippi (MS) |
| Post Code | 39563 |
| Phone Number | 2284747103 |
| Fax Number | 2284747103 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C00895 | MS | MEDICARE | |
| 1903304 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Coastal Family Health Center, Inc.?
The Coastal Family Health Center, Inc. has been issued the NPI (National Provider Identifier) 1508897000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Coastal Family Health Center, Inc.'s facilities are situated?
The facilities of Coastal Family Health Center, Inc. are physically located at the following address: 4913 Weems Street, Moss Point, MS, 39563.
What is Coastal Family Health Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Coastal Family Health Center, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date was the 1508897000 assigned to Coastal Family Health Center, Inc.?
The Coastal Family Health Center, Inc. was issued its 1508897000 on 2006-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Coastal Family Health Center, Inc. last refreshed?
The information related to the Coastal Family Health Center, Inc., including its address, specialty, and other relevant details, was last updated on 2008-08-27.