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CH04243Q THE COASTAL FAMILY HEALTH CENTER INC (Terminated)
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Main Details
Name
THE COASTAL FAMILY HEALTH CENTER INC
Subdivision Name
Medical/Dental Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002762
340B ID
CH04243Q
Grant Number
H80CS00188
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/2/2024
Termination Date
Termination Reason
7/1/2024
Other
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
1046 Division Street
Biloxi, MS 39530
Billing Address
Coastal Family Health Center
9113 Hwy 49 Suite 200
Gulfport, MS 39503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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