Organization
MCR HEALTH, INC.
Active
Other names
Dr. George Van Buren Children and Family Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT AND CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
712 39TH ST W, BRADENTON, FL 34205-2454
(941) 748-4602
(941) 708-8893
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029561218
—
FL
Enumeration date
07/04/2006
Last updated
03/08/2024
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