Coastal Family Health Center

LBN: Coastal Family Health Center
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 / Dental, which is considered as the primary health care specialty. Coastal Family Health Center can be contacted via phone (228) 863-9781, or through Dawsey, Joe via phone (228) 374-2494.

Contact Information

Primary practice address
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306
Phone: (228) 863-9781
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dawsey, Joe
Phone: (228) 374-2494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Mississippi

Profile Details

NPI number 1124288501
LBN Legal business name Coastal Family Health Center
DBA Doing business as
Authorized official Dawsey, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 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 1124288501 NPPES
Mississippi MEDICAID 09013308

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