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CH04243X THE COASTAL FAMILY HEALTH CENTER INC (Active)
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Main Details
Name
THE COASTAL FAMILY HEALTH CENTER INC
Subdivision Name
State Line Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020826
340B ID
CH04243X
Grant Number
H80CS00188
Additional Details
Current Program Status
Active
Registration Date
1/31/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/24/2017
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
256 Main Street
State Line, MS 39362
Billing Address
Coastal Family Health Center
PO Box 475
Biloxi, MS 39533
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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