PORT ST JOHN CLINIC
NPI 1700234770
Clinic/Center - Federally Qualified Health Center (FQHC) in Cocoa, FL
About Port St John Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT ST JOHN CLINIC (NPI 1700234770) is a healthcare organization registered as a federally qualified health center (fqhc) in Cocoa, Florida and active in the NPI registry since May 2016. The organization lists Angela Craig, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ST JOHN, FL 32927
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 The Brevard Health Alliance Inc's NPI number?
The NPI number for The Brevard Health Alliance Inc is 1700234770. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is also known as Port St John Clinic.
Where is The Brevard Health Alliance Inc located?
The Brevard Health Alliance Inc is located at 7227 N Us Highway 1, Cocoa, FL 32927. The listed phone number is (321) 877-2740.
What is The 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.
When was this NPI record last updated?
The NPPES record for The Brevard Health Alliance Inc was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Port St John Clinic · NPI 1700234770
Federally Qualified Health Center (FQHC) organization in Cocoa, Florida. Organization record, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1700234770 (Entity type: Organization)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** The Brevard Health Alliance Inc
- **Organization subpart:** No
- **Authorized official:** Angela Craig, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 7227 N US HIGHWAY 1, Cocoa, FL 32927-5020
- **Phone:** (321) 877-2740
## Record status
- **NPPES last updated:** May 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1700234770) · Data from the CMS NPPES public registry.