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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
1133V00000XRegistered Dietitian
2163WD0400XDiabetes Educator Registered Nurse
3207Q00000XFamily Medicine Physician
4207RI0200XInfectious Disease Physician
5251B00000XCase Management Agency
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
7261QF0400XFederally Qualified Health Center (FQHC)

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 : 1376565945
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 : 5325 26TH ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-3012
Country : US
Telephone Number : 941-708-8500
Fax Number : 941-567-6277
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MELVIN B PRICE
Credential :
Telephone Number : 941-776-4000
Provider Enumeration Date : 07/24/2006
Last Update Date : 02/26/2025

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Directions to “MCR HEALTH, INC. ” Practice Location

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