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CH043823M BREVARD HEALTH ALLIANCE INC., THE (Active)
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Main Details
Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA Sarno Regional Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011368
340B ID
CH043823M
Grant Number
H80CS04213
Additional Details
Current Program Status
Active
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/17/2013
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
2120 Sarno Road, Ste 2120
Melbourne, FL 32935
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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