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MCR HEALTH INC. NPI 1871523795


NPI Information

NPI: 1871523795
Provider Name: MCR HEALTH, INC.

Doing Business As: MANATEE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D1100243

Address:
712 39TH ST W
BRADENTON, FL
ZIP 34205
Phone: (941) 748-4602
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MCR HEALTH, INC. is a pediatrics in Bradenton, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MCR HEALTH, INC. NPI is 1871523795. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Manatee Pediatrics.

The provider's business location address is:

712 39TH ST W
BRADENTON, FL
ZIP 34205-454
Phone: (941) 748-4602
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 CLIA number assigned to this NPI record is 10D1100243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 12/3/2021.


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
1122300000XDentistNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsYes
5261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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
1029561218MEDICAIDFLORIDA

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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