Organization · Type 2 NPI

Brevard Health Alliance Inc

Federally Qualified Health Center (FQHC) · Indian Harbour Beach, FL

NPI number 1073855797 Active

Practice location

4000 N Riverside Dr
Indian Harbour Beach, FL 32937-4842

Fax (321) 434-1975

Mailing address

PO Box 1137
Melbourne, FL 32902-1137

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1073855797

Brevard Health Alliance Inc's National Provider Identifier is 1073855797, issued on Mar 20, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Indian Harbour Beach, FL. The record was last updated on Apr 1, 2013.