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CH04243AV COASTAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
COASTAL FAMILY HEALTH CENTER
Subdivision Name
Wiggins Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033869
340B ID
CH04243AV
Grant Number
H80CS00188
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/16/2024
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Coastal Family Health Center
ANGEL GREER, CEO
(228) 374-2494 Ext: 1133
Primary Contact
Coastal Family Health Center
Warren Patrick Hutto, Director of Pharmacy Services
(228) 374-2476 Ext: 1082
Addresses
Street Address
1407 Central Ave E
Wiggins, MS 39577-9611
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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