Brevard Health Alliance INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Cocoa, FL. Organization (NPI-2).
Details
- NPI
- 1104549484
- Entity type
- Organization (NPI-2)
- Legal business name
- Brevard Health Alliance INC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 19, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Brevard Health Alliance (Doing Business As)
Practice location
905 Pineda StCocoa, FL 32922-6370
Phone 321-241-6800 · Fax 321-241-6888
Mailing address
Po Box 1137Melbourne, FL 32902-1137
Phone 321-698-3446
Authorized official
Angela Craig
Director Of Billing
3216983446
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Cocoa, FL
- Brevard Health AllianceNPI 1952451239
- Brevard Health Alliance INCNPI 1780450759
- Brevard Health Alliance INCNPI 1962857417
- The Brevard Health Alliance INCNPI 1104121300
- The Brevard Health Alliance INCNPI 1700234770
- The Brevard Health Alliance INCNPI 1730331109
All 7 Federally Qualified Health Center (FQHC) providers in Cocoa · All 833 providers in Cocoa
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