FAMILY PROMISE FIREHOUSE CLINIC
NPI 1780450759
Clinic/Center - Federally Qualified Health Center (FQHC) in Cocoa, FL

Active since November 30, 2023
114 1ST ST OFC 137, COCOA, FL 32922(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Promise Firehouse Clinic NPPES

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

FAMILY PROMISE FIREHOUSE CLINIC (NPI 1780450759) is a healthcare organization registered as a federally qualified health center (fqhc) in Cocoa, Florida and active in the NPI registry since November 2023. The organization lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1780450759
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address114 1ST ST OFC 137Cocoa, FL 32922-7767
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Fax(321) 241-6890
Organization SubpartNo
Authorized OfficialAngela CraigDirector Of Billing · (321) 241-6834
Enumeration DateNovember 30, 2023
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1780450759 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
114 1ST ST OFC 137, Cocoa, FL 32922

Other Names 1

Doing Business AsFamily Promise Firehouse Clinic

Other Providers at the Same Location NPPES

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

General Practice
114 1ST ST OFC 137
COCOA, FL 32922

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 1780450759. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Family Promise Firehouse Clinic.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 114 1st St Ofc 137, Cocoa, FL 32922. The listed phone number is (321) 241-6800.

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.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance Inc was last updated on December 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.