Organization · Type 2 NPI

Brevard Health Alliance Inc

Federally Qualified Health Center (FQHC) · Cocoa, FL

NPI number 1780450759 Active

Practice location

114 1st St Ofc 137
Cocoa, FL 32922-7767

Call (321) 241-6800 Map

Fax (321) 241-6890

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

Brevard Health Alliance IncGeneral Practice Physician Cocoa, FL NPI 1396511374

Other federally qualified health center (fqhc) providers in Cocoa

See all in Cocoa →

NPI record

NPI: 1780450759
Entity type: Organization (Type 2)
Issued: Nov 30, 2023
Last updated: Dec 21, 2023
Status: Active

Other names

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Family Promise Firehouse Clinic · doing business as
Family Promise Firehouse Clinic · doing business as

Authorized official

Angela Craig
Director of Billing
(321) 241-6834

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 1780450759

Brevard Health Alliance Inc's National Provider Identifier is 1780450759, issued on Nov 30, 2023. 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 21, 2023.