340B Drug Pricing Program Database

Name

THE COASTAL FAMILY HEALTH CENTER INC

Subdivision Name

ED MAYO MIDDLE SCHOOL CLINIC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-005487

340B ID

CH04243R

Grant Number

H80CS00188

Current Program Status

Terminated

Registration Date

4/1/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/13/2016

Last Recertification Date

1/31/2017

Termination Date
Termination Reason

4/1/2017
Site closure

Authorizing Official

Coastal Family Health Center
ANGEL GREER, CEO
(228) 374-2494 Ext: 1133

Primary Contact

Coastal Family Health Center
Larry J. Knight, COO
(228) 374-2494 Ext: 1116

Street Address

6601 Orange Grove Rd
Moss Point, MS 39563-3425

Billing Address

Coastal Family Health Center
1046 Division Street
Biloxi, MS 39530