Brevard Health Alliance Inc in Rockledge - Federally Qualified Health Center (fqhc)
Brevard Health Alliance Inc - NPI 1134276074
Brevard Health Alliance Inc is a Federally Qualified Health Center (fqhc) in Rockledge, Florida. Brevard Health Alliance Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Brevard Health Alliance Inc is 1134276074. The last update date is 2014-02-18.
Brevard Health Alliance Inc's current location address is 220 Barton Blvd, Rockledge, Florida. You can contact this provider via phone number 3216395177 and fax number 3216394927. The mailing address for Brevard Health Alliance Inc is 220 Barton Blvd, Rockledge, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brevard Health Alliance Inc |
|---|---|
| Address | 220 Barton Blvd, Rockledge, Florida |
| Phone Number | 3216395177 |
| Fax Number | 3216394927 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Craig Angela |
| Telephone Number | 3219529696 |
NPI Number Detail
| NPI Number | 1134276074 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 220 Barton Blvd |
|---|---|
| City | Rockledge |
| State | Florida (FL) |
| Post Code | 329552742 |
| Phone Number | 3216395177 |
| Fax Number | 3216394927 |
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 |
|---|---|---|---|
| 6886931-06 | FL | -- |
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What is the Brevard Health Alliance Inc's unique identification number?
The Brevard Health Alliance Inc has been assigned the NPI (National Provider Identifier) Number 1134276074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brevard Health Alliance Inc's facilities are situated?
The facilities of Brevard Health Alliance Inc are physically located at the following address: 220 Barton Blvd, Rockledge, FL, 329552742.
What is the Brevard Health Alliance Inc's specialty and taxonomy code?
The Brevard Health Alliance Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134276074 to Brevard Health Alliance Inc?
The Centers for Medicare & Medicaid Services originally issued the 1134276074 to Brevard Health Alliance Inc on 2007-01-04.
As of what date were the Brevard Health Alliance Inc's details last updated?
The information pertaining to the Brevard Health Alliance Inc, including its address, specialty, and other details, was most recently updated on 2014-02-18.
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