MCR HEALTH INC. NPI 1467481960

NPI Information

  • NPI: 1467481960
  • Provider Name: MCR HEALTH, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LAWTON CHILES CHILDREN & FAMILY HEALTH CENTER
  • Address: 1515 26TH AVE E
    BRADENTON, FL
    ZIP 34208
  • Phone: (941) 708-8600

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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 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 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
3207Q00000XFamily MedicineNo
4208000000XPediatricsNo
5213E00000XPodiatristNo
6261QF0400XClinic/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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1029561203MEDICAIDFLORIDA

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: 3/30/2025

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