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Coastal Family Health Center, Inc — NPI 1588458079, Lucedale, MS | NPI Central

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NPI 1588458079

OrganizationActive

Coastal Family Health Center, Inc

NPI 1588458079 · Federally Qualified Health Center (FQHC) · Lucedale, MS

Provider details

NPI number: 1588458079
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

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

6165 Highway 613

Lucedale, MS 39452-9701

Phone: (228) 374-2494

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

10467 Corporate Dr

Gulfport, MS 39503-4634

Other names (DBA / former)

Doing business as: Coastal Family Health Center, Inc Agricola Elementary

Registry dates

Enumerated: 2025-04-08
Last updated: 2025-04-08
Certified: 2025-04-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.