| Brevard Health Alliance | |
|
2000 Commerce Dr Melbourne FL 32904-2335 | |
| (321) 241-6800 | |
| (321) 241-6888 |
| Full Name | Brevard Health Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 Commerce Dr, Melbourne, Florida |
| Authorized Official Name and Position | Angela Craig (DIRECTOR OF BILLING) |
| Authorized Official Contact | 3212416834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 698-3446 | Brevard Health Alliance 2000 Commerce Dr Melbourne FL 32904-2335 Ph: (321) 241-6800 |
| NPI Number | 1114640885 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0446201768 |
|---|---|
| Medicare Enrollment ID | O20230615002688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114640885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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