MCR Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MCR HEALTH, INC.

Practice address

6001 21St Ave W
Bradenton, FL 34209-7847

Phone

(941) 761-4448

Fax

(941) 761-0235

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Patrick Carnegie

Title

President & Ceo

Phone

(941) 776-4000

Specialties & licenses 2

Addresses

Other names 1

• AMA Health Heart and Vascular Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Federally qualified health center certification: CCN 681175

Legal name

MCR HEALTH INC

Doing business as

AMA HEALTH HEART AND VASCULAR

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 15, 2020

Last certification

Apr 15, 2020

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Apr 11, 1978 in FL

Enrollment address

6001 21St Ave W
Bradenton, FL 34209-7847

All disclosed owners & managing parties 1

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

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1356972533",
    "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": "6001 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097847",
            "telephone_number": "941-761-4448",
            "fax_number": "941-761-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CARNEGIE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "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 Heart and Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.

• 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 Sep 2, 2022; 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.