BREVARD HEALTH ALLIANCE INC NPI 1104549484

NPI Information

NPI: 1104549484
Provider Name: BREVARD HEALTH ALLIANCE INC

Doing Business As: BREVARD HEALTH ALLIANCE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
905 PINEDA ST
COCOA, FL
ZIP 32922
Phone: (321) 241-6800
Get Directions

BREVARD HEALTH ALLIANCE INC is a federally qualified health center (fqhc) clinic center in Cocoa, FL. BREVARD HEALTH ALLIANCE INC NPI is 1104549484. The provider is registered as an organization entity type.
The provider Is Doing Business As Brevard Health Alliance.

The provider's business location address is:

905 PINEDA ST
COCOA, FL
ZIP 32922-370
Phone: (321) 241-6800
Fax: (321) 241-6888

The provider's authorized official is Angela Craig .
The authorized official title is Director Of Billing and has the following contact phone number (321) 698-3446.

The CLIA number assigned to this NPI record is 10D2269616 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/22/2022 and was last updated on 12/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »