NPI | 1871350090 |
---|---|
Doing Business As | COASTAL COMMUNITY HEALTH - POOLER |
Entity Type | Organization |
Authorized Contact | KAVANAUGH CHANDLER CEO 912-275-8028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |