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CH043823V THE BREVARD HEALTH ALLIANCE, INC. (Active)
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Main Details
Name
THE BREVARD HEALTH ALLIANCE, INC.
Subdivision Name
BHA Circles of Care Melbourne Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036271
340B ID
CH043823V
Grant Number
H80CS04213
Additional Details
Current Program Status
Active
Registration Date
3/10/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/13/2023
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
2000 Commerce Dr
Melbourne, FL 32904-2335
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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