THE BREVARD HEALTH ALLIANCE INC (NPI# 1730331109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730331109 |
| Entity Type | Organization |
| Organization Name | THE BREVARD HEALTH ALLIANCE INC |
| Other Organization Name | MONROE CENTER |
| Practice Address |
705 Blake Ave Bldg G Cocoa FL 32922-7100 |
| Practice Telephone | 3216336391 |
| Practice Fax Number | 3216336441 |
| Mailing Telephone | 3216336391 |
| Mailing Fax Number | 3216336441 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-03-08 |
| 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 | 6886931-10 | 05 |
| Other Name | Type Code |
|---|---|
| Monroe Center | Other Name - Individual/Organization |
| 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 |
| 1427363597 | The Brevard Health Alliance Inc | Clinic/Center | 1537 N Singleton Ave, Titusville, FL 32796-1679 | 2010-08-13 |
| 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 |
| Street Address |
705 BLAKE AVE BLDG G |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104088301 | Rumyana Georgieva Atanasova | Family Medicine | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2008-06-28 |
| 1104121300 | The Brevard Health Alliance Inc | Clinic/Center | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| 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 |
|---|---|---|---|---|
| 1952451239 | Brevard Health Alliance | Clinic/Center | 15 Rosa L Jones Blvd, Cocoa, FL 32922-7899 | 2007-01-11 |
| 1700234770 | The Brevard Health Alliance Inc | Clinic/Center | 7227 N Us Highway 1, Cocoa, FL 32927-5020 | 2016-05-31 |
| 1962857417 | Brevard Health Alliance Inc | Clinic/Center | 7227 N Us Highway 1, Cocoa, FL 32927-5020 | 2016-05-03 |
| 1104121300 | The Brevard Health Alliance Inc | Clinic/Center | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2011-01-19 |
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| Find all providers with the same taxonomy | ||||
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| 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.