| Mcr Health, Inc. | |
|
4805 26th St W Bradenton FL 34207-1706 | |
| (941) 753-7843 | |
| (941) 753-7845 |
| Full Name | Mcr Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4805 26th St W, Bradenton, Florida |
| Authorized Official Name and Position | Melvin B Price (PRESIDENT AND CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcr Health, Inc. 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Mcr Health, Inc. 4805 26th St W Bradenton FL 34207-1706 Ph: (941) 753-7843 |
| NPI Number | 1083984587 |
|---|---|
| Provider Enumeration Date | 12/31/2011 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 7214847995 |
|---|---|
| Medicare Enrollment ID | O20120703000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083984587 | NPI | - | NPPES |
| 029561240 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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