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CH043823H BREVARD HEALTH ALLIANCE INC., THE (Active)
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Main Details
Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA Barton Commons
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011139
340B ID
CH043823H
Grant Number
H80CS04213
Additional Details
Current Program Status
Active
Registration Date
5/8/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/9/2006
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
220 Barton Blvd
Rockledge, FL 32955-2742
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/3/10 UPDATED ADDR (WAS 15 ROSA L. JONES DRIVE, COCOA, 32922-7899)
08/04/2010
April 2025
April 2025
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