Brevard Health Alliance Inc
Doing business as Hickory Clinic
Federally qualified health center in Melbourne, FL, Medicare certification number 101977.
Medicare certification
Provider of Services- CCN
- 101977
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – partnership
- Participating since
- Jul 29, 2005
- Last certification
- Jul 29, 2005
- Address
- 17 Silver Palm Avenue
Melbourne, FL 32901
(321) 727-0924
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Melbourne, FL
- NPI 1528115458
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.