MCR HEALTH INC. NPI 1386157584

NPI Information

  • NPI: 1386157584
  • Provider Name: MCR HEALTH, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: SOUTH MANATEE PEDIATRICS
  • CLIA Number: 10D2119318
  • Address: 5108 15TH ST E STE 111
    BRADENTON, FL
    ZIP 34203
  • Phone: (941) 210-7942

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NPI Details

MCR HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Bradenton, FL. MCR HEALTH, INC. NPI is 1386157584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Manatee Pediatrics.

The provider's business location address is:

5108 15TH ST E STE 111
BRADENTON, FL
ZIP 34203-844
Phone: (941) 210-7942

The provider's authorized official is Melvin B Price .
The authorized official title is President & Ceo and has the following contact phone number (941) 776-4000.

The CLIA number assigned to this NPI record is 10D2119318 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 1/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredNo
2163WD0400XRegistered NurseDiabetes EducatorNo
3208000000XPediatricsNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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