MCR Health, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MCR HEALTH, INC.

Practice address

707 N 12TH Ave
Arcadia, FL 34266-8752

Phone

(863) 494-1242

Fax

(863) 491-0466

NPI assigned

Jan 6, 2015

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melvin B Price

Title

President and Ceo

Phone

(941) 776-4000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144618703. Details of each certification follow.

• CCN 681021 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 681021

Legal name

MCR HEALTH INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 29, 2015

Last certification

Jun 29, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 11, 1978 in FL

Enrollment address

425 Nursing Home Dr
Arcadia, FL 34266-3839

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MCR Health, Inc.

  dba Ama Arcadia

  • Internal Medicine Physician
  • Arcadia, FL
  • NPI 1669952156

  O20150629001644

  Same enrollment

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1144618703",
    "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",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N 12TH AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668752",
            "telephone_number": "863-494-1242",
            "fax_number": "863-491-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lester McClendon, D.D.S.
• Jake McHargue
• Keisha S McKenzie
• MCR Health, Inc. (Community Care Family Healthcare Center)
• MCR Health, Inc. (Twin Rivers Medical Center)
• MCR Health, Inc.
• MCR Health, Inc. (AMA Arcadia Pharmacy)
• MCR Health, Inc.
• MCR Health, Inc. (Arcadia Internal Medicine)
• MCR Health, Inc. (Community Care Family Clinic)

• Mental Health Counselor in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.