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CH043823B BREVARD HEALTH ALLIANCE INC., THE (Active)
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Main Details
Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA PALM BAY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001739
340B ID
CH043823B
Grant Number
H80CS04213
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/27/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Brevard Health Alliance
Austin Helton, CEO
(321) 241-6854
Primary Contact
Brevard Health Alliance
Reem Natafji, Chief Pharmacy Officer
(321) 342-9706
Addresses
Street Address
5270 Babcock St NE STE 1
Palm Bay, FL 32905-4616
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 4/01/05
03/27/2005
April 2025
April 2025
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