Port St John Clinic

LBN: Brevard Health Alliance Inc
Port St John Clinic is an health care organization with primary practice located at 7227 N Us Highway 1 , Cocoa FL 32927-5020. 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) 877-2740, or through Craig, Angela via phone (321) 241-6834.

Contact Information

Primary practice address
7227 N Us Highway 1 Cocoa FL 32927-5020
Phone: (321) 877-2740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Craig, Angela
Phone: (321) 241-6834

Health care specialties

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

Profile Details

NPI number 1962857417
LBN Legal business name Brevard Health Alliance Inc
DBA Doing business as Port St John Clinic
Authorized official Craig, Angela
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated Jun 17th, 2016 - about 10 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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