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HV395331 COASTAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
COASTAL FAMILY HEALTH CENTER
Subdivision Name
COASTAL FAMILY HEALTH CENTER - Ryan White
Type
Ryan White Part C
340B ID
HV395331
Grant Number
H76HA00527
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
7/1/1999
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
1/1/2023 - 12/31/2025
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
10467 Corporate Drive
Gulfport, MS 39503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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4/4/2012-Added AO, changed title, and phone number extension of PC, 9/10/08 UPDATED ADDR AND ZIP (WAS P.O. BOX 475, 39533)
04/04/2012
9/10/08 UPDATED ADDR AND ZIP (WAS P.O. BOX 475, 39533)
09/10/2008
May 2025
May 2025
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