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CH04243A THE COASTAL FAMILY HEALTH CENTER INC (Active)
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Main Details
Name
THE COASTAL FAMILY HEALTH CENTER INC
Subdivision Name
VANCLEAVE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000592
340B ID
CH04243A
Grant Number
H80CS00188
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
12/20/2010
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
10828 Highway 57
Vancleave, MS 39565-8264
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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12/20/10 UPDATED ADDR - ZIP ONLY (WAS 39564); 6/9/2008- UPDATED ADDRESS (WAS 11700 HIGHWAY 57); 12/21/05 - MOD ENT NAME
12/20/2010
May 2025
May 2025
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