OrganizationActive
Coastal Family Health Center Inc
NPI 1528161197 · Federally Qualified Health Center (FQHC) · State Line, MS
Provider details
- NPI number
- 1528161197
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angelique Greer, Ceo(228) 374-2494
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
256 Main St
State Line, MS 39362-9499
Phone: (601) 848-7912
Fax: (601) 848-7461
Street-level locationGet directions
Mailing address
10467 Corporate Dr
Gulfport, MS 39503-4634
Other names (DBA / former)
- Doing business as
- Coastal Family Health Center, Inc -State Line Medical Center
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.