Brevard Achievement Center

LBN: Brevard Achievement Center
Brevard Achievement Center is an health care organization with primary practice located at 1845 Cogswell Street , Rockledge FL 32955. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Brevard Achievement Center can be contacted via phone (321) 632-8610, or through Rogers, Ryan Richard via phone (321) 632-8610.

Contact Information

Primary practice address
1845 Cogswell Street Rockledge FL 32955
Phone: (321) 632-8610
Fax: (321) 639-5087
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Ryan Richard
Phone: (321) 632-8610

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1215237342
LBN Legal business name Brevard Achievement Center
DBA Doing business as
Authorized official Rogers, Ryan Richard
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2010
Last updated Oct 28th, 2010 - about 14 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 1215237342 NPPES
Florida MEDICAID 024163601
Florida MEDICAID 024163696

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