COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC – NPI #1356444921
Clinic/Center

COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC is an AHC clinic located in MCLAIN, MS. NPPES has assigned the NPI number 1356444921 to COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC” is a dba name, the actual legal business name for this organization is COASTAL FAMILY HEALTH CENTER INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC below.

NPI Profile for
COASTAL FAMILY HEALTH CENTER INC

NPI Number
1356444921
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL FAMILY HEALTH CENTER INC
Doing Business As (dba): COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC
Primary location
300 SHOWS ST
MCLAIN, MS 39456
Phone: (601) 753-2334 Fax:
Mailing address
10467 CORPORATE DR
GULFPORT, MS 39503-4634
Phone: (228) 374-2494 Fax: (228) 374-2713
Organization Subpart
No
Authorized Official
ANGELIQUE GREER
CEO
Phone: (228) 374-2494
Updated
Certification Date
Aug 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COASTAL FAMILY HEALTH CENTER, INC -MCLAIN SCHOOL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS03330060
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.