NPIMap

Organization Active NPI

MCR Health, Inc.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1437639788
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCR HEALTH, INC.
Practice address
701 Manatee Ave W Ste 101
Bradenton, FL 34205-8624
Phone
(941) 748-3065
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Patrick Carnegie
Title
President and Ceo
Phone
(941) 776-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

701 Manatee Ave W Ste 101
Bradenton, FL 34205-8624

Mailing address

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

Other names 1

  • AMA MANATEE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116001093 FL Part A Provider - Federally Qualified Health Center (FQHC) 7214847995 2 other NPIs on this enrollment
Practice locations: Bradenton, FL

Federally qualified health center certification: CCN 101144

Legal name
MCR HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 16, 2014
Last certification
Jan 16, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1978 in FL
Enrollment address
701 Manatee Ave W
Ama Manatee
Bradenton, FL 34205-8624

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Maria Graciela Matute Individual Corporate Director Jan 1, 2019
Carlos Mendez Individual Corporate Director Oct 1, 2013
James Garry Lowe Individual Corporate Director Oct 1, 2013
Patrick Carnegie Individual Corporate OfficerPresident and Ceo Jan 1, 2018
W-2 Managing EmployeePresident and Ceo Jan 1, 2018
Maria Aguilar Individual Corporate DirectorBoard Member May 1, 2018
Stephen S Wicker Individual Corporate Director Dec 1, 2013
Lynette Edwards Individual Corporate Director Oct 1, 2013
MCR Health Inc Organization, Bradenton, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 11, 1977 100%
Livia Garcia Leyva Individual Corporate Director Oct 1, 2013

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 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
Southeast Family Healthcare CenterBradenton, FL, CCN 681195 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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1437639788",
    "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": "701 MANATEE AVE W STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624",
            "telephone_number": "941-748-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "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 AND CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMA MANATEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.