Brevard Health Alliance
LBN: Brevard Health Alliance
Brevard Health Alliance is an health care organization with primary practice located at 500 N Washington Ave Suite 105, Titusville FL 32796-2759. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Brevard Health Alliance can be contacted via phone (321) 264-5496, or through Craig, Angela via phone (321) 952-9696.
Contact Information
Primary practice address
500 N Washington Ave Suite 105
Titusville FL 32796-2759
Phone: (321) 264-5496
Fax: (321) 268-3357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1336444637 |
|---|---|
| LBN Legal business name | Brevard Health Alliance |
| DBA Doing business as | |
| Authorized official | Craig, Angela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2011 |
| Last updated | Jan 20th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336444637 | NPPES |
| Florida | MEDICAID | 6886931-13 |
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