Active NPI
MCR Health, Inc.
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MCR HEALTH, INC.
- Practice address
- 515 63Rd Ave E
Bradenton, FL 34203-7614 - Phone
- (941) 304-3960
- Fax
- (941) 290-5517
- NPI assigned
- Nov 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvin B Price
- Title
- President & Ceo
- Phone
- (941) 776-4000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
515 63Rd Ave E
Bradenton, FL 34203-7614
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240131004021 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 7214847995 | Practice locations: Bradenton, FL |
Federally qualified health center certification: CCN C11007
- Legal name
- MCR HEALTH INC
- Doing business as
- DAUGHTREY ELEMENTARY CHILDREN AND FAMILY HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 19, 2024
- Last certification
- Jan 19, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Oct 21, 1977 in FL
- Enrollment address
- 515 63Rd Ave E
Bradenton, FL 34203-7614
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2300428 | Daughtrey Elementary Children and Family | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Manatee County Rural He
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Venice, FL
- NPI 1043760606
-
- General Practice Physician
- Bradenton, FL
- NPI 1053061093
-
- Surgery Physician
- Bradenton, FL
- NPI 1053509950
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1053688903
-
- Family Medicine Physician
- Wesley Chapel, FL
- NPI 1053964726
-
- Obstetrics & Gynecology Physician
- Bradenton, FL
- NPI 1063339802
-
- Family Medicine Physician
- Dade City, FL
- NPI 1073166740
-
- Federally Qualified Health Center (FQHC)
- Venice, FL
- NPI 1083246359
-
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
- NPI 1083984587
-
- Family Medicine Physician
- Arcadia, FL
- NPI 1124321328
-
- Family Medicine Physician
- New Port Richey, FL
- NPI 1124671896
-
- Family Medicine Physician
- Arcadia, FL
- NPI 1134599723
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary L Ruiz | Corporate Director | Nov 29, 2023 | |
| Janene M Amick | Corporate Director | Nov 29, 2023 | |
| Daniel J Friedrick | Corporate Director | Nov 29, 2023 | |
| Reginald J Bellamy | Corporate Director | Nov 29, 2023 | |
| Leroy J Washington | Corporate Director | Nov 29, 2023 | |
| Stephen S Wicker | Corporate Director | Nov 29, 2023 | |
| Lynette Edwards | Corporate Director | Nov 29, 2023 | |
| Edna Y Baugh | Corporate Director | Nov 29, 2023 | |
| Daniel Jaime | Corporate Director | Nov 29, 2023 | |
| Melvin B Price | Corporate Officer | Nov 9, 2022 | |
| Operational/Managerial Control | Nov 9, 2022 | ||
| Kathleen a Hargreaves | Corporate Director | Nov 29, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
- NPI 1841267424
Corporate Officer, Operational/Managerial Control
All facility ownership & control disclosures 16
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Whole Child Pediatrics and River Landing OB/GYN | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Nov 2, 2009 |
| North Manatee Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Southwest Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| West Manatee Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Bradenton Family Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Arcadia Podiatry | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Community Care Family Clinic Counseling Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 11, 1978 |
| Twin Rivers Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| South County Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Southeast Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Riverside Medical Center - Pulmonology | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1144094772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 710",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058812",
"telephone_number": "941-776-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 63RD AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342037614",
"telephone_number": "941-304-3960",
"fax_number": "941-290-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "941-776-4000"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.