| Brevard Health Alliance Inc | |
|
5270 Babcock St Ne Suite 1 Palm Bay FL 32905-8630 | |
| (321) 722-5959 | |
| Not Available |
| Full Name | Brevard Health Alliance Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5270 Babcock St Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Angela Craig (BILLING DIRECTOR) |
| Authorized Official Contact | 3212416834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance Inc Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 722-5910 | Brevard Health Alliance Inc 5270 Babcock St Ne Suite 1 Palm Bay FL 32905-8630 Ph: (321) 722-5959 |
| NPI Number | 1992750962 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992750962 | NPI | - | NPPES |
| 688693100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne # St1, Palm Bay, FL 32905 Phone: 321-722-5973 | |
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