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MCR HEALTH INC. NPI 1245562842


NPI Information

NPI: 1245562842
Provider Name: MCR HEALTH, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6040 STATE ROAD 70 E
BRADENTON, FL
ZIP 34203
Phone: (941) 316-8200
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MCR HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Bradenton, FL. MCR HEALTH, INC. NPI is 1245562842. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6040 STATE ROAD 70 E
BRADENTON, FL
ZIP 34203-720
Phone: (941) 316-8200
Fax: (941) 708-8893

The provider's authorized official is Patrick Carnegie .
The authorized official title is President And Ceo and has the following contact phone number (941) 776-4000.

The enumeration date for this NPI number is 2/6/2010 and was last updated on 7/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207V00000XObstetrics & GynecologyNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1029561233MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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