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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: August 16, 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
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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 ›

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.

LAURA MARIE MENDOZA D.O.
Family Medicine
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
DR. HAGEN V. HASTINGS D.M.D.
Dentist (General Practice)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
TULLY T. BLALOCK JR. MD
Internal Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
THE BREVARD HEALTH ALLIANCE INC
General Practice
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
CATHERINE CASEY RCSWI
Social Worker
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brevard Health Alliance Inc's NPI number?

The NPI number for Brevard Health Alliance Inc is 1639413925. It was assigned to this organization in the NPPES registry on November 27, 2012. The provider is also known as Medical/Dental Mobile Unit.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 220 Barton Blvd Unit C14, Rockledge, FL 32955. The listed phone number is (321) 639-5177.

What is Brevard Health Alliance Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Brevard Health Alliance Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Brevard Health Alliance Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance Inc was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.