MCR HEALTH INC. NPI 1467481960

NPI Information

NPI: 1467481960
Provider Name: MCR HEALTH, INC.

Doing Business As: LAWTON CHILES CHILDREN & FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1515 26TH AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 708-8600
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MCR HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Bradenton, FL. MCR HEALTH, INC. NPI is 1467481960. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lawton Chiles Children & Family Health Center.

The provider's business location address is:

1515 26TH AVE E
BRADENTON, FL
ZIP 34208-707
Phone: (941) 708-8600
Fax: (941) 708-8893

The provider's authorized official is Melvin B Price .
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 6/30/2006 and was last updated on 3/8/2024.

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	Primary
1	207Q00000X	Family Medicine		No
2	208000000X	Pediatrics		No
3	213E00000X	Podiatrist		No
4	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029561203	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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