MCR Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MCR HEALTH, INC.

Doing business as

AMA Health Bayview Medical

Practice address

5309 E State Road 64
Bradenton, FL 34208-5534

Phone

(941) 747-9818

NPI assigned

Jun 28, 2019

Last updated

Jun 12, 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

Other names 1

• AMA Health Bayview Medical Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326600487. Details of each certification follow.

• CCN 681148 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681148

Legal name

AMA BAYVIEW MEDICAL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 22, 2019

Last certification

Jul 22, 2019

Ownership / control type

For profit – partnership

Facility address

5309 E State Road 64
Bradenton, FL 34208

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• MCR Health, Inc.

  dba Arcadia Eye Care

  • Optometrist
  • Arcadia, FL
  • NPI 1578599072

  Member Of

  NPD member

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1326600487",
    "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": "5309 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085534",
            "telephone_number": "941-747-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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": [
        {
            "organization_name": "AMA Health Bayview Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMA Health Bayview Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• MCR Health, Inc. (Manatee Elementary School Based Health Center)
• MCR Health, Inc. (Cortez Pharmacy)
• MCR Health, Inc.
• MCR Health, Inc. (Bradenton Family Medical Center)
• MCR Health, Inc. (AMA Health Heart and Vascular)
• MCR Health, Inc. (Lawton Chiles Children and Family Healthcare Center)

• Federally Qualified Health Center (FQHC) in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.