Brevard Health Alliance in Palm Bay - Federally Qualified Health Center (fqhc)

Brevard Health Alliance - NPI 1992750962

Brevard Health Alliance is a Federally Qualified Health Center (fqhc) in Palm Bay, Florida. Brevard Health Alliance practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Brevard Health Alliance is 1992750962. The last update date is 2018-12-21.

Brevard Health Alliance's current location address is 5270 Babcock St Ne, Palm Bay, Florida. You can contact this provider via phone number 3217225959. The mailing address for Brevard Health Alliance is 5270 Babcock St Ne, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brevard Health Alliance
Address 5270 Babcock St Ne, Palm Bay, Florida
Phone Number 3217225959
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING DI
Authorized Official Name Craig Angela
Telephone Number 3212416834

NPI Number Detail

NPI Number 1992750962
Provider Enumeration Date 2006-05-24
Last Updated Date 2018-12-21

Provider Mailing Address Detail

Address 5270 Babcock St Ne
City Palm Bay
State Florida (FL)
Post Code 329058630
Phone Number 3217225959
Fax Number

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
688693100 FL --

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FAQs about Brevard Health Alliance

What is the Brevard Health Alliance's 1992750962?

The Brevard Health Alliance's NPI (National Provider Identifier) Number is 1992750962. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Brevard Health Alliance's facilities are situated?

The facilities of Brevard Health Alliance are physically located at the following address: 5270 Babcock St Ne, Palm Bay, FL, 329058630.

What is Brevard Health Alliance's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brevard Health Alliance's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.

When was the Brevard Health Alliance's 1992750962 issued?

The Brevard Health Alliance's 1992750962 was issued on 2006-05-24.

As of what date were the Brevard Health Alliance's details last updated?

The information pertaining to the Brevard Health Alliance, including its address, specialty, and other details, was most recently updated on 2018-12-21.

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