COASTAL FAMILY HEALTH CENTER
NPI 1679581599
Clinic/Center - Federally Qualified Health Center (FQHC) in Moss Point, MS
NPI Status: Active since August 04, 2006
Contact Information
4770 AMOCO DR
MOSS POINT, MS
ZIP 39563
Phone: (228) 474-9511
Fax: (228) 474-9509
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 11D0872954
- CLIA Cert. Type: PPMP
- CLIA Exp. Date: 07-07-2025
About COASTAL FAMILY HEALTH CENTER
Coastal Family Health Center is a primary care provider established in Moss Point, Mississippi operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1679581599 assigned on August 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Coastal Family Health Center. The authorized official of this NPI record is Joe M Dawsey (Executive Director)
- NPI
- 1679581599
- Provider Legal Name
- COASTAL FAMILY HEALTH CENTER, INC.
- Other Organization Name
- COASTAL FAMILY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4770 AMOCO DR MOSS POINT, MS 39563
- Location Phone
- (228) 474-9511
- Location Fax
- (228) 474-9509
- Mailing Address
- PO BOX 475 BILOXI, MS 39533
- Mailing Phone
- (228) 374-2494
- Mailing Fax
- (228) 474-9509
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2006
- Last Update Date
- 10-29-2008
- Code Navigator
A primary care provider (PCP) like Coastal Family Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License State
- MS
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arkansas Health & Wellness
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
Ambetter from Louisiana Healthcare Connections
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter from Magnolia Health
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA with Walgreens - HMO
- Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
Ambetter of Alabama
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter of Tennessee
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Cigna Healthcare
- Connect Bronze 5500 Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze 9450 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
Molina Healthcare
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
UnitedHealthcare
- UHC Bronze Copay Focus $0 Indiv Med Ded (No Referrals) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C00895 | OTHER (01) | MS | MEDICARE |
| 04478868 | MEDICAID (05) | MS | |
| 251968 | MEDICARE OSCAR/CERTIFICATION (06) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0872954
- Facility Type
- Physician Office
- Certificate Effective Date
- July 08, 2023
- Certificate Expiration Date
- July 07, 2025
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coastal Family Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 5 | 8 | 1 | 5 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 8 | 2 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 8 + 2 + 5 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1679581599 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710955869 | LYNETTE BALTAS PA-C Individual | Physician Assistant (Medical) | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 474-9511 |
| 1669412052 | MRS. MARY ELIZABETH HARTER FNP Individual | Nurse Practitioner | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 474-9511 |
| 1043747975 | NATASHA R KING LCSW Individual | Social Worker (Clinical) | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 474-9511 |
| 1679116644 | FELICIA SELLERS Individual | Nurse Practitioner (Family) | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 374-2494 |
| 1841808953 | KAYLA HULTS NP-C Individual | Nurse Practitioner (Family) | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 474-9577 |
| 1154072999 | RATNA KAMALAKAR BOLLAVARAPU Individual | Dentist (General Practice) | 4770 AMOCO DR MOSS POINT, MS 39563 (228) 474-9511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679581599, enumerated in the NPI registry as an "organization" on August 04, 2006
The provider is located at 4770 Amoco Dr Moss Point, Ms 39563 and the phone number is (228) 474-9511
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with 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 make sure your health plan is currently accepted.
The provider's CLIA number is 11D0872954 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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