COASTAL FAMILY HEALTH CENTER – NPI #1417988916
Clinic/Center

COASTAL FAMILY HEALTH CENTER is an AHC clinic located in MOSS POINT, MS. NPPES has assigned the NPI number 1417988916 to COASTAL FAMILY HEALTH CENTER on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Aug 22, 2020. 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 below.

NPI Profile for
COASTAL FAMILY HEALTH CENTER

NPI Number
1417988916
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
Doing Business As (dba): COASTAL FAMILY HEALTH CENTER
Primary location
6602 ORANGE GROVE ROAD
MOSS POINT, MS 39563
Phone: (228) 473-9945 Fax: (228) 475-3747
Mailing address
PO BOX 475
BILOXI, MS 39533
Phone: (228) 818-2766 Fax: (228) 818-2394
Organization Subpart
No
Authorized Official
JOE DAWSEY
EXECUTIVE DIRECTOR
Phone: (228) 818-2766
Updated
Identifiers

Identifiers for COASTAL FAMILY HEALTH CENTER

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
MEDICAIDMS06681754
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.