PORT ST JOHN CLINIC
NPI 1962857417
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 1962857417) 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
Accepted Insurance
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 Brevard Health Alliance Inc's NPI number?
The NPI number for Brevard Health Alliance Inc is 1962857417. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is also known as Port St John Clinic.
Where is Brevard Health Alliance Inc located?
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 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 1 other insurer 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 June 17, 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 1962857417
Federally Qualified Health Center (FQHC) organization in Cocoa, Florida. Organization record, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1962857417 (Entity type: Organization)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** 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:** June 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962857417) · Data from the CMS NPPES public registry.