Organization
MCR HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT AND CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(941) 708-7607
(941) 708-7618
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029561202
—
FL
Enumeration date
11/13/2006
Last updated
03/08/2024
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