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NPI Code Detail

MEDICARE: MCR HEALTH, INC.

MEDICARE: MCR HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)
2174400000XSpecialist
3207RI0011XInterventional Cardiology Physician
4208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598158446
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCR HEALTH, INC.
Provider Business Mailing Address
First Line : 101 RIVERFRONT BLVD STE 710
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8812
Country : US
Telephone Number : 941-776-4000
Fax Number : 941-845-4963
Provider Business Practice Location Address
First Line : 6015 POINTE WEST BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5525
Country : US
Telephone Number : 941-304-3971
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MELVIN B PRICE
Credential :
Telephone Number : 941-776-4000
Provider Enumeration Date : 03/16/2015
Last Update Date : 06/16/2026

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Practice Location Address:
6015 POINTE WEST BLVD
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34209-5525
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Practice Fax:
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1457639387 — MCR HEALTH, INC.
Practice Location Address:
6015 POINTE WEST BLVD
BRADENTON, FL
34209-5525
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Practice Fax:
1912316217 — MCR HEALTH, INC.
Practice Location Address:
6015 POINTE WEST BLVD
BRADENTON, FL
34209-5525
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Practice Fax:
1447902119 — MCR HEALTH, INC.
Practice Location Address:
6015 POINTE WEST BLVD
BRADENTON, FL
34209-5525
Practice Phone: 941-304-3971
Practice Fax:

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