CANCER CARE CENTERS OF BREVARD
NPI 1902214588
Non-Pharmacy Dispensing Site in Rockledge, FL
About Cancer Care Centers Of Brevard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANCER CARE CENTERS OF BREVARD (NPI 1902214588) is a healthcare organization registered as a non-pharmacy dispensing site in Rockledge, Florida and active in the NPI registry since July 2014. The organization holds an CLIA Accreditation certificate valid through January 22, 2027 and lists Gail K Erentreich, Director Of Clinical Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other Identifiers 2
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2044227
- Facility Type
- Physician Office
- Certificate Effective Date
- January 23, 2025
- Certificate Expiration Date
- January 22, 2027
- Laboratory Director
- VENKAT P. REDDY KANCHARLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Cancer Care Centers Of Brevard on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ROCKLEDGE, FL 32955
ROCKLEDGE, FL 32955
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902214588, enumerated as an "organization" on July 28, 2014.
The provider is located at 1048 HARVIN WAY ROCKLEDGE, FL 32955 and the phone number is (321) 636-2111.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
