MEDICARE: MCR HEALTH, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	111N00000X	Chiropractor
3	163WD0400X	Diabetes Educator Registered Nurse
4	133V00000X	Registered Dietitian
5	207Q00000X	Family Medicine Physician
6	207V00000X	Obstetrics & Gynecology Physician
7	213E00000X	Podiatrist
8	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

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

General Provider Information

NPI Number	:	1578594107
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	:	1148 E GIBSON ST
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-5011
Country	:	US
Telephone Number	:	863-494-6222
Fax Number	:	941-708-8893

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MELVIN B PRICE
Credential	:
Telephone Number	:	941-776-4000

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/14/2025

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Directions to “MCR HEALTH, INC. ” Practice Location

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