Brevard Health Alliance

LBN: Brevard Health Alliance
Brevard Health Alliance is an health care organization with primary practice located at 2550 Grant St Ste 137 , Melbourne FL 32901-6006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Brevard Health Alliance can be contacted via phone (321) 334-6940, or through Craig, Angela via phone (321) 698-3446.

Contact Information

Primary practice address
2550 Grant St Ste 137 Melbourne FL 32901-6006
Phone: (321) 334-6940
Fax: (321) 334-6912
Website:
Map and Directions
Authorized official contact:
Name: Craig, Angela
Phone: (321) 698-3446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1558088070
LBN Legal business name Brevard Health Alliance
DBA Doing business as
Authorized official Craig, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2022
Last updated Oct 25th, 2022 - about 2 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 1558088070 NPPES
Florida MEDICAID 688693129

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