Coastal Family Health Center Inc

NPI 1033107289 - Clinic/Center - 261QC1500X

NPI Details
NPI 1033107289
Enumeration Date 10/12/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JOE M JOE
Position EXECUTIVE DIRECTOR
Phone (228) 864-0003
Fax (228) 374-0856
Practice Location
15024 MARTIN LUTHER KING JR BLVD
GULFPORT MS, 39501-8306, US
Phone (228) 864-0003
Fax (228) 374-0856
Business Location
PO BOX 475
BILOXI MS, 39533-0475, US
Phone (228) 374-2494
Fax (228) 374-0856
Toxanomy
Taxonomy Code 261QC1500X
License State
License Number
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According to our database, Coastal Family Health Center Inc NPI is 1033107289, taxonomy code is 261QC1500X Coastal Family Health Center Inc physically located at 15024 Martin Luther King Jr Blvd, Gulfport MS, 39501-8306. NPI Number 1033115704 has the healthcare provider type.

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1033107289 NPI number is provided on an as is basis without warranty of any kind. 1033107289 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Family Health Center Inc are for informational purposes only.