1. Home
  2. Directory
  3. Florida
  4. Rockledge
  5. Clinic Center
  6. NPI Profile

MEDICAL/DENTAL MOBILE UNIT
NPI 1639413925
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockledge, FL

Active since November 27, 2012
220 BARTON BLVD, UNIT C14, ROCKLEDGE, FL 32955(321) 639-5177(321) 639-4927 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Medical/dental Mobile Unit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL/DENTAL MOBILE UNIT (NPI 1639413925) is a healthcare organization registered as a federally qualified health center (fqhc) in Rockledge, Florida and active in the NPI registry since November 2012. The organization lists Angela Craig, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639413925
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address220 BARTON BLVD, UNIT C14Rockledge, FL 32955-2742
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 639-5177
Fax(321) 639-4927
Organization SubpartNo
Authorized OfficialAngela CraigBusiness Office Manager · (321) 952-9696
Enumeration DateNovember 27, 2012
✔ NPI 1639413925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
220 BARTON BLVD, Rockledge, FL 32955
Open in Google Maps ↗

Other Names 1

Other NameMedical/dental Mobile Unit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0925643

Brevard Health Alliance Inc, The · Rockledge, FL
Expired · Nov 7, 2025
CLIA Number10D0925643
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2023
Certificate Expiration DateNovember 7, 2025
Laboratory DirectorDr. Theodore J. Schuck
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The220 Barton Blvd Unit C14, Rockledge, FL 32955
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TULLY T. BLALOCK JR. MD
Internal Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
JUSTIN CONRAD KOENITZER PSYD
Psychologist (Clinical)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
DR. HAGEN V. HASTINGS D.M.D.
Dentist (General Practice)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
AVRIL ASSON ARNP
Nurse Practitioner (Family)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT #C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT #C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
LAURA MARIE MENDOZA D.O.
Family Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177

Frequently Asked Questions

What is BREVARD HEALTH ALLIANCE INC's NPI number?

The NPI number assigned to this healthcare provider is 1639413925, enumerated as an "organization" on November 27, 2012.

Where is the provider located?

The provider is located at 220 BARTON BLVD UNIT C14 ROCKLEDGE, FL 32955 and the phone number is (321) 639-5177.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does BREVARD HEALTH ALLIANCE INC accept?

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.