Malabar Clinic

LBN: Brevard Health Alliance Inc
Malabar Clinic is an health care organization with primary practice located at 775 Malabar Rd , Malabar FL 32950-3120. 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 Inc can be contacted via phone (321) 722-8435, or through Craig, Angela via phone (321) 952-9696.

Contact Information

Primary practice address
775 Malabar Rd Malabar FL 32950-3120
Phone: (321) 722-8435
Fax: (321) 722-8486
Website:
Map and Directions
Authorized official contact:
Name: Craig, Angela
Phone: (321) 952-9696

Health care specialties

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

Profile Details

NPI number 1790056877
LBN Legal business name Brevard Health Alliance Inc
DBA Doing business as Malabar Clinic
Authorized official Craig, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2012
Last updated Apr 4th, 2013 - about 13 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 1790056877 NPPES
Florida MEDICAID 6886931-14

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