| Organization Name: | COASTAL FAMILY HEALTH CENTER |
| NPI Number: | 1417988916 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOE M DAWSEY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 6602 Orange Grove Road Moss Point |
| State: | MS US |
| Postal Code: | 39563 |
| Phone Number: | 2284739945 |
| Fax Number: | 2284753747 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |