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COASTAL FAMILY HEALTH CENTER
NPI 1104814359
Clinic/Center - Federally Qualified Health Center (FQHC) in Vancleave, MS

Active since October 12, 2005
10828 HIGHWAY 57, VANCLEAVE, MS 39565(228) 826-4711(228) 374-0856 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL FAMILY HEALTH CENTER (NPI 1104814359) is a healthcare organization registered as a federally qualified health center (fqhc) in Vancleave, Mississippi and active in the NPI registry since October 2005. The organization lists Angelique S Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104814359
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address10828 HIGHWAY 57Vancleave, MS 39565-8264
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-0856
Phone(228) 826-4711
Fax(228) 374-0856
Organization SubpartNo
Authorized OfficialAngelique S GreerCeo · (228) 374-2494
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1104814359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
10828 HIGHWAY 57, Vancleave, MS 39565
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Other Names 1

Doing Business AsCoastal Family Health Center

Other Identifiers 2

Medicaid9011503MS
OtherC00895MS · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D0666108

Coastal Family Health Center · Vancleave, MS
Expired · Aug 8, 2026
CLIA Number25D0666108
Laboratory TypeOther
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorRamona Williams
Laboratory Phone(228) 826-4711
Laboratory LocationCoastal Family Health Center10828 Highway 57 North, Vancleave, MS 39565
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VICTORIA BURGES SWYNENBERG APRN, FNP-C
Nurse Practitioner (Family)
10828 HIGHWAY 57
VANCLEAVE, MS 39565
Jackson County (228) 374-2494
POOJA SHARMA FNP
Nurse Practitioner (Family)
10828 HIGHWAY 57
VANCLEAVE, MS 39565
Jackson County (603) 930-3933
COASTAL FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
10828 HIGHWAY 57
VANCLEAVE, MS 39565
Jackson County (228) 826-4711
REAGAN MCMURTERY FNP-C
Nurse Practitioner
10828 HIGHWAY 57
VANCLEAVE, MS 39565
Jackson County (228) 826-4711
ANGELICA TRIEU
Nurse Practitioner (Pediatrics)
10828 HIGHWAY 57
VANCLEAVE, MS 39565
Jackson County (228) 826-4711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Family Health Center, Inc's NPI number?

The NPI number for Coastal Family Health Center, Inc is 1104814359. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider is doing business as Coastal Family Health Center.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 10828 Highway 57, Vancleave, MS 39565. The listed phone number is (228) 826-4711.

What is Coastal Family Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Coastal Family Health Center, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Coastal Family Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Family Health Center, Inc was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.