THE BREVARD HEALTH ALLIANCE INC (NPI# 1427363597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427363597 |
| Entity Type | Organization |
| Organization Name | THE BREVARD HEALTH ALLIANCE INC |
| Practice Address |
1537 N Singleton Ave Titusville FL 32796-1679 |
| Practice Telephone | 3212680267 |
| Practice Fax Number | 3212673742 |
| Mailing Telephone | 3212680267 |
| Mailing Fax Number | 3212673742 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | ANGELA CRAIG (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3219529696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 6886931-12 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1700234770 | The Brevard Health Alliance Inc | Clinic/Center | 7227 N Us Highway 1, Cocoa, FL 32927-5020 | 2016-05-31 |
| 1104121300 | The Brevard Health Alliance Inc | Clinic/Center | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2011-01-19 |
| 1730331109 | The Brevard Health Alliance Inc | Clinic/Center | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2008-10-16 |
| Street Address |
1537 N SINGLETON AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226555 | Brevard Health Alliance Inc | Pharmacy | 1537 N Singleton Ave, Titusville, FL 32796-1679 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739319 | Primary Health Network | Clinic/Center | 120 S Martin St, Titusville, PA 16354-1850 | 2019-03-13 |
| 1336444637 | Brevard Health Alliance | Clinic/Center | 500 N Washington Ave, Suite 105, Titusville, FL 32796-2759 | 2011-01-18 |
| 1508182841 | Primary Health Network | Clinic/Center | 401 W Spring St, Titusville, PA 16354-2169 | 2010-04-12 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on THE BREVARD HEALTH ALLIANCE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.