NPIMap

Organization Active NPI

MCR Health, Inc.

Doing business as Southeast Family Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
National Provider Identifier
1396775219
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MCR HEALTH, INC.
Doing business as
Southeast Family Healthcare Center
Practice address
919 53Rd Ave E
Bradenton, FL 34203-4801
Phone
(941) 751-8100
Fax
(941) 708-8893
NPI assigned
Jul 4, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Diabetes Educator Registered Nurse 163WD0400X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Podiatrist 213E00000X
Diabetology (Family Medicine) Physician 207QD0401X
Diabetology (Internal Medicine) Physician 207QB0505X

Addresses

Primary practice location

919 53Rd Ave E
Bradenton, FL 34203-4801

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other identifiers 1

IdentifierTypeStateIssuer
029561204MedicaidFL

Other names 1

  • Southeast Family Healthcare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100824000897 FL Part A Provider - Federally Qualified Health Center (FQHC) 7214847995 Practice locations: Bradenton, FL
O20201021000056 FL Part A Provider - Federally Qualified Health Center (FQHC) 7214847995 Practice locations: Bradenton, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1396775219. Details of each certification follow.

Federally qualified health center certification: CCN 101920

Legal name
MCR HEALTH INC
Doing business as
SOUTHEAST FAMILY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 31, 1997
Last certification
Mar 31, 1997
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1978 in FL
Enrollment address
919 53Rd Ave E
Bradenton, FL 34203-4801

Federally qualified health center certification: CCN 681195

Legal name
MCR HEALTH INC
Doing business as
SOUTHEAST FAMILY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 21, 2020
Last certification
Oct 21, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 11, 1977 in FL
Enrollment address
919 53Rd Ave E
Bradenton, FL 34203-4801

National Provider Directory

National Provider Directory
Tax ID family
Rashid Salahuddin M130 organizations share this tax ID, including this one

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.

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Mary L Ruiz Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Janene M Amick Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Daniel J Friedrick Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Reginald J Bellamy Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Leroy J Washington Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Stephen S Wicker Individual Corporate DirectorSecretary / Treasurer Dec 1, 2013
Corporate DirectorBoard Member Oct 1, 2012
Lynette Edwards Individual Corporate DirectorBoard of Director Jun 1, 2010
Corporate DirectorBoard Member Oct 1, 2012
Edna Y Baugh Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
Daniel Jaime Individual Corporate DirectorBoard of Director Nov 29, 2023
Melvin B Price Individual Corporate OfficerPresident & Ceo Nov 9, 2022
Operational/Managerial ControlPresident & Ceo Nov 9, 2022
Kathleen a Hargreaves Individual Corporate DirectorBoard of Director Nov 29, 2023
Corporate Director Nov 29, 2023
MCR Health Inc Organization, Bradenton, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 11, 1977 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Whole Child Pediatrics and River Landing OB/GYNBradenton, FL, CCN 101049 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 2, 2009
North Manatee Family Healthcare CenterPalmetto, FL, CCN 101887 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 11, 1977
Southwest Health CenterBradenton, FL, CCN 101895 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 11, 1977
West Manatee Health CenterBradenton, FL, CCN 101071 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
Bradenton Family Medical CenterBradenton, FL, CCN 101094 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
MCR Health IncBradenton, FL, CCN 101144 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
MCR Health Arcadia PodiatryArcadia, FL, CCN 101188 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
Riverside Medical ServicesBradenton, FL, CCN 101192 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
MCR Health IncArcadia, FL, CCN 681021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
Community Care Family Clinic Counseling ServicesArcadia, FL, CCN 681026 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 11, 1978
Twin Rivers Medical CenterArcadia, FL, CCN 681027 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
South County Medical CenterEnglewood, FL, CCN 681055 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
MCR HealthSarasota, FL, CCN 681049 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 11, 1977
Riverside Medical CenterBradenton, FL, CCN 691016 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 11, 1977
Riverside Medical Center - PulmonologyBradenton, FL, CCN 691067 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 11, 1977

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1396775219",
    "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": "919 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034801",
            "telephone_number": "941-751-8100",
            "fax_number": "941-708-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QD0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Diabetology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0505X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Diabetology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Family Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.