Organization · Type 2 NPI

Brevard Health Alliance Inc

Federally Qualified Health Center (FQHC) · Cocoa, FL

NPI number 1104549484 Active

Practice location

905 Pineda St
Cocoa, FL 32922-6370

Call (321) 241-6800 Map

Fax (321) 241-6888

Mailing address

PO Box 1137
Melbourne, FL 32902-1137

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

The Brevard Health Alliance IncGeneral Practice Physician Cocoa, FL NPI 1962116343

Other federally qualified health center (fqhc) providers in Cocoa

See all in Cocoa →

NPI record

NPI: 1104549484
Entity type: Organization (Type 2)
Issued: Sep 22, 2022
Last updated: Dec 19, 2022
Status: Active

Other names

<unavail>
Brevard Health Alliance · doing business as
Brevard Health Alliance · doing business as

Authorized official

Angela Craig
Director of Billing
(321) 698-3446

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104549484

Brevard Health Alliance Inc's National Provider Identifier is 1104549484, issued on Sep 22, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cocoa, FL. The record was last updated on Dec 19, 2022.