COASTAL FAMILY HEALTH CENTER, INC - ANNEX SCHOOL CLINIC
NPI 1700979960
Clinic/Center - Federally Qualified Health Center (FQHC) in Leakesville, MS

Active since October 02, 2006
175 ANNEX RD, LEAKESVILLE, MS 39451(601) 394-5093(601) 394-6061 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, Apr 24, 2018, Apr 21, 2017 (3 updates tracked since 2017).

About Coastal Family Health Center, Inc - Annex School Clinic NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - ANNEX SCHOOL CLINIC (NPI 1700979960) 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 lists Angelique Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700979960
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address175 ANNEX RDLeakesville, MS 39451-9602
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-2713
Fax(601) 394-6061
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 1700979960 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
175 ANNEX RD, Leakesville, MS 39451

Other Names 1

Other NameCoastal Family Health Center, Inc - Annex School Clinic

Other Identifiers 1

Medicaid01429351MS

Accepted Insurance

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 1700979960. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is also known as Coastal Family Health Center, Inc - Annex School Clinic.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 175 Annex Rd, Leakesville, MS 39451. The listed phone number is (601) 394-5093.

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.