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COASTAL FAMIL HEALTH CENTER, D'IBERVILLE CLINIC
NPI 1629309117
Clinic/Center - Federally Qualified Health Center (FQHC) in Diberville, MS

Active since January 22, 2010CLIA 25D2007714 · Microscopy
3446 POPPS FERRY RD, DIBERVILLE, MS 39540(228) 374-2494 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, May 19, 2021 (2 updates tracked since 2021).

About Coastal Famil Health Center, D'iberville Clinic NPPES

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

COASTAL FAMIL HEALTH CENTER, D'IBERVILLE CLINIC (NPI 1629309117) is a healthcare organization registered as a federally qualified health center (fqhc) in Diberville, Mississippi and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through May 23, 2028 and lists Angelique S Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629309117
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC.
Location Address3446 POPPS FERRY RDDiberville, MS 39540-2421
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494
Phone(228) 374-2494
Organization SubpartNo
Authorized OfficialAngelique S GreerCeo · (228) 374-2494
Enumeration DateJanuary 22, 2010
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1629309117 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
3446 POPPS FERRY RD, Diberville, MS 39540
Open in Google Maps ↗

Other Names 1

Doing Business AsCoastal Famil Health Center, D'iberville Clinic

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) 25D2007714

Coastal Family Health Center Diberville Clinic · Diberville, MS
Active · expires May 23, 2028
CLIA Number25D2007714
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorShekina Dillon
Laboratory Phone(228) 392-4153
Laboratory LocationCoastal Family Health Center Diberville Clinic3446 Popps Ferry Rd, Diberville, MS 39540
CLIA data matches this NPI record on: Address Name
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 2

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

SHEKINA T DILLON NURSE PRACTITIONER
Nurse Practitioner (Family)
3446 POPPS FERRY RD
DIBERVILLE, MS 39540
Harrison County (228) 374-2494
YOSTIN ZAMBRANO MCKELROY MSN, APRN, FNP-C
Nurse Practitioner (Family)
3446 POPPS FERRY RD
DIBERVILLE, MS 39540
Harrison County (228) 397-2494

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 1629309117. It was assigned to this organization in the NPPES registry on January 22, 2010. The provider is doing business as Coastal Famil Health Center, D'iberville Clinic.

Where is Coastal Family Health Center, Inc. located?

Coastal Family Health Center, Inc. is located at 3446 Popps Ferry Rd, Diberville, MS 39540. The listed phone number is (228) 374-2494.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 25D2007714) is associated with this NPI, valid through May 23, 2028. 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 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.