BREVARD HEALTH ALLIANCE
NPI 1952451239
Clinic/Center - Federally Qualified Health Center (FQHC) in Cocoa, FL

Active since January 11, 2007
15 ROSA L JONES BLVD, COCOA, FL 32922(321) 639-5177 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brevard Health Alliance NPPES

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

BREVARD HEALTH ALLIANCE (NPI 1952451239) is a healthcare organization registered as a federally qualified health center (fqhc) in Cocoa, Florida and active in the NPI registry since January 2007. The organization lists Marsha Vendetti, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1952451239
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE
Location Address15 ROSA L JONES BLVDCocoa, FL 32922-7899
Mailing Address15 Rosa L Jones BlvdCocoa, FL 32922-7899 · (321) 639-5177
Organization SubpartNo
Authorized OfficialMarsha VendettiOperations Manager · (321) 722-5970
Enumeration DateJanuary 11, 2007
Last NPPES UpdateNovember 4, 2010
NPI 1952451239 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
15 ROSA L JONES BLVD, Cocoa, FL 32922

Other Identifiers 2

Medicare ID-Type Unspecified10-1985
Medicaid6886931-09FL

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's NPI number?

The NPI number for Brevard Health Alliance is 1952451239. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Brevard Health Alliance located?

Brevard Health Alliance is located at 15 Rosa L Jones Blvd, Cocoa, FL 32922. The listed phone number is (321) 639-5177.

What is Brevard Health Alliance'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 was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.