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
300 RIVERSIDE DR E, SUITE 2010, BRADENTON, FL 34208-1008
(941) 405-1170
(941) 405-1175
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101192
MEDICARE PTAN
—
Enumeration date
08/12/2014
Last updated
11/28/2023
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