COASTAL FAMILY HEALTH CENTER, INC - MOBILE CARE
NPI 1659950202
Clinic/Center - Federally Qualified Health Center (FQHC) in Pass Christian, MS

Active since April 02, 2021CLIA 25D1069921 · Microscopy
257 DAVIS AVE, PASS CHRISTIAN, MS 39571(228) 374-2494(228) 396-3457 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2024, Oct 8, 2021, Apr 2, 2021 (3 updates tracked since 2021).

About Coastal Family Health Center, Inc - Mobile Care NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - MOBILE CARE (NPI 1659950202) is a healthcare organization registered as a federally qualified health center (fqhc) in Pass Christian, Mississippi and active in the NPI registry since April 2021. The organization holds a CLIA Microscopy certificate valid through June 14, 2027 and lists Angelique Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659950202
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address257 DAVIS AVEPass Christian, MS 39571-4541
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494
Fax(228) 396-3457
Organization SubpartNo
Authorized OfficialAngelique GreerCeo · (228) 374-2494
Enumeration DateApril 2, 2021
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1659950202 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
257 DAVIS AVE, Pass Christian, MS 39571

Other Names 1

Doing Business AsCoastal Family Health Center, Inc - Mobile Care

Accepted 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) 25D1069921

Coastal Family Health Center/Pass Christian Clinic · Pass Christian, MS
Active · expires Jun 14, 2027
CLIA Number25D1069921
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Shama Shakir
Laboratory Phone(228) 452-6284
Laboratory LocationCoastal Family Health Center/Pass Christian Clinic257 Davis Avenue Suite A, Pass Christian, MS 39571
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659950202, enumerated as an "organization" on April 02, 2021.

The provider is located at 257 DAVIS AVE PASS CHRISTIAN, MS 39571 and the phone number is (228) 374-2494.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.