Brevard Health Alliance

LBN: Brevard Health Alliance
Brevard Health Alliance is an health care organization with primary practice located at 5270 Babcock St Ne # St1 , Palm Bay FL 32905-8630. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Brevard Health Alliance can be contacted via phone (321) 722-5959, or through Vendetti, Marsha via phone (321) 722-5970.

Contact Information

Primary practice address
5270 Babcock St Ne # St1 Palm Bay FL 32905-8630
Phone: (321) 722-5959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vendetti, Marsha
Phone: (321) 722-5970

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1679622120
LBN Legal business name Brevard Health Alliance
DBA Doing business as
Authorized official Vendetti, Marsha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 4th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679622120 NPPES
Florida MEDICAID 6886931-01

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