BREVARD HEALTH ALLIANCE INC NPI 1114640885

NPI Information

NPI: 1114640885
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:
2000 COMMERCE DR
MELBOURNE, FL
ZIP 32904
Phone: (321) 241-6800
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BREVARD HEALTH ALLIANCE INC is a federally qualified health center (fqhc) clinic center in Melbourne, FL. BREVARD HEALTH ALLIANCE INC NPI is 1114640885. 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:

2000 COMMERCE DR
MELBOURNE, FL
ZIP 32904-335
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) 241-6834.

The enumeration date for this NPI number is 9/19/2022 and was last updated on 1/24/2023.

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

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