MCR HEALTH INC. NPI 1386157584

NPI Information

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 Patrick Carnegie .
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 12/29/2020.

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:

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