Brevard Health Alliance in Palm Bay - Federally Qualified Health Center (fqhc)
Brevard Health Alliance - NPI 1679622120
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 1679622120. The last update date is 2010-11-04.
Brevard Health Alliance's current location address is 5270 Babcock St Ne # St1, Palm Bay, Florida. You can contact this provider via phone number 3217225959. The mailing address for Brevard Health Alliance is 5270 Babcock St Ne # St1, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brevard Health Alliance |
|---|---|
| Address | 5270 Babcock St Ne # St1, Palm Bay, Florida |
| Phone Number | 3217225959 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Vendetti Marsha |
| Telephone Number | 3217225970 |
NPI Number Detail
| NPI Number | 1679622120 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2010-11-04 |
Provider Mailing Address Detail
| Address | 5270 Babcock St Ne # St1 |
|---|---|
| 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 |
|---|---|---|---|
| 6886931-01 | FL | -- |
Post Comment/ Review Below
What is the Brevard Health Alliance's unique identification number?
The Brevard Health Alliance has been assigned the NPI (National Provider Identifier) Number 1679622120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Brevard Health Alliance's physical address?
The Brevard Health Alliance is physically located at 5270 Babcock St Ne # St1, in the city of Palm Bay, FL, with the postal code 329058630.
What is Brevard Health Alliance's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brevard Health Alliance is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Brevard Health Alliance receive its 1679622120 assignment from the Centers for Medicare & Medicaid Services?
The Brevard Health Alliance was assigned its 1679622120 by the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information pertaining to Brevard Health Alliance most recently updated or revised?
The details related to Brevard Health Alliance, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-04.