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NPI Code Detail

MEDICARE: GULF COAST HEALTH CENTER INC

MEDICARE: GULF COAST HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912904897
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST HEALTH CENTER INC
Provider Business Mailing Address
First Line : 2548 MEMORIAL BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2825
Country : US
Telephone Number : 409-983-1161
Fax Number : 409-983-4933
Provider Business Practice Location Address
First Line : 2548 MEMORIAL BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2825
Country : US
Telephone Number : 409-983-1161
Fax Number : 409-983-4933
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. MARSHA E THIGPEN
Credential : MD
Telephone Number : 409-983-1161
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/29/2025

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Directions to “GULF COAST HEALTH CENTER INC ” Practice Location

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