COASTAL FAMILY HEALTH CENTER, INC - JUNIOR HIGH SCHOOL CLINIC
NPI 1457444606
Clinic/Center - Federally Qualified Health Center (FQHC) in Leakesville, MS

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

The NPI number for Coastal Family Health Center Inc is 1457444606. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Coastal Family Health Center, Inc - Junior High School Clinic.

Q: 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.

Active since October 02, 2006CLIA 25D2048973 · Waiver

620 MAIN STREET, LEAKESVILLE, MS 39451(601) 394-4507(601) 394-5615 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, Nov 5, 2021, Apr 21, 2017 (3 updates tracked since 2017).

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About Coastal Family Health Center, Inc - Junior High School Clinic NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - JUNIOR HIGH SCHOOL CLINIC (NPI 1457444606) is a healthcare organization registered as a federally qualified health center (fqhc) in Leakesville, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Angelique Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457444606

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOASTAL FAMILY HEALTH CENTER INC

Location Address620 MAIN STREETLeakesville, MS 39451

Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-2713

Phone(601) 394-4507

Fax(601) 394-5615

Organization SubpartNo

Authorized OfficialAngelique GreerCeo · (228) 374-2494

Enumeration DateOctober 2, 2006

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1457444606 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

620 MAIN STREET, Leakesville, MS 39451

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Other Names 1

Doing Business AsCoastal Family Health Center, Inc - Junior High School Clinic

Other Identifiers 1

Medicaid08703746MS

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 of Waiver 25D2048973

Coastal Family Health Center-Leakesville Junior Hi · Leakesville, MS

Active · expires Oct 25, 2026

CLIA Number25D2048973

Laboratory TypeSchool/Student Health Service

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorDanielle Eubanks

Laboratory Phone(601) 394-4507

Laboratory LocationCoastal Family Health Center-Leakesville Junior Hi620 Main Street, Leakesville, MS 39451

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 1457444606. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Coastal Family Health Center, Inc - Junior High School Clinic.

Where is Coastal Family Health Center Inc located?

Coastal Family Health Center Inc is located at 620 Main Street, Leakesville, MS 39451. The listed phone number is (601) 394-4507.

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.

Does Coastal Family Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2048973) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.