Active NPI
MCR Health, Inc.
Doing business as Lawton Chiles Children & Family Health Center
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MCR HEALTH, INC.
- Doing business as
- Lawton Chiles Children & Family Health Center
- Practice address
- 1515 26TH Ave E
Bradenton, FL 34208-7707 - Phone
- (941) 708-8600
- Fax
- (941) 708-8893
- NPI assigned
- Jun 30, 2006
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| Podiatrist | 213E00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1515 26TH Ave E
Bradenton, FL 34208-7707
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029561203 | Medicaid | FL |
Other names 1
- Lawton Chiles Children & Family Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100902000835 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 7214847995 | Practice locations: Bradenton, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467481960. Details of each certification follow.
Federally qualified health center certification: CCN 101866
- Legal name
- MCR HEALTH INC
- Doing business as
- LAWTON CHILES CHILDREN & FAMILY HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 1, 1992
- Last certification
- Dec 1, 1992
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation
- Incorporated
- Apr 11, 1978 in FL
- Enrollment address
- 1515 26TH Ave E
Bradenton, FL 34208-7707
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0895321 | Lawton Chiles Health Center | Certificate of waiver | Dec 6, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- MCR Health Inc
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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346720695
-
dba Health and Wellness Land O'Lakes
- Family Medicine Physician
- Land O' Lakes, FL
- NPI 1346893260
-
dba Bradenton Family Medical Center
- Family Medicine Physician
- Bradenton, FL
- NPI 1356612782
-
dba Lawton Chiles Children and Family Healthcare Center
- Community/Behavioral Health Agency
- Bradenton, FL
- NPI 1366065161
-
- Surgery Physician
- Bradenton, FL
- NPI 1366720294
-
dba Southwest Healthcare Center
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
- NPI 1376565945
-
dba Southeast Family Healthcare Center
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
- NPI 1396775219
-
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
- NPI 1417649658
-
dba Southwest Healthcare Center
- Community/Behavioral Health Agency
- Bradenton, FL
- NPI 1427604735
-
dba Advanced Specialty Institute Amp & Wound Care II
- General Practice Physician
- Bradenton, FL
- NPI 1447902119
-
dba Advanced Specialty Institute Dermatology II
- General Practice Physician
- Bradenton, FL
- NPI 1457639387
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary L Ruiz | Corporate Director | Nov 29, 2023 | |
| Janene M Amick | Corporate Director | Nov 29, 2023 | |
| Daniel J Friedrick | Corporate Director | Nov 29, 2023 | |
| Reginald J Bellamy | Corporate Director | Nov 29, 2023 | |
| Leroy J Washington | Corporate Director | Nov 29, 2023 | |
| Stephen S Wicker | Corporate Director | Dec 1, 2013 | |
| Lynette Edwards | Corporate Director | Feb 1, 2006 | |
| Edna Y Baugh | Corporate Director | Nov 29, 2023 | |
| Daniel Jaime | Corporate Director | Nov 29, 2023 | |
| Melvin B Price | Corporate Officer | Nov 9, 2022 | |
| Operational/Managerial Control | Nov 9, 2022 | ||
| Kathleen a Hargreaves | Corporate Director | Nov 29, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
- NPI 1841267424
Corporate Officer, Operational/Managerial Control
All facility ownership & control disclosures 16
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Whole Child Pediatrics and River Landing OB/GYN | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Nov 2, 2009 |
| North Manatee Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Southwest Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| West Manatee Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Bradenton Family Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Arcadia Podiatry | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Community Care Family Clinic Counseling Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 11, 1978 |
| Twin Rivers Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| South County Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Southeast Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Riverside Medical Center - Pulmonology | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1467481960",
"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": "1515 26TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342087707",
"telephone_number": "941-708-8600",
"fax_number": "941-708-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"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": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"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": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029561203",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawton Chiles Children & Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
- MCR Health, Inc. (Southwest Healthcare Center)
- MCR Health, Inc. (Ama Manatee)
- MCR Health, Inc. (Advanced Specialty Institute Amp & Wound Care II)
- MCR Health, Inc. (Advanced Specialty Institute Dermatology II)
- MCR Health, Inc. (Advanced Specialty Institute Amp & Wound Care)
- MCR Health, Inc. (East Manatee Health and Wellness Center)
- MCR Health, Inc. (Southwest Health Center Pharmacy)
- MCR Health, Inc. (Diabetic Nutrition Education Program)
- MCR Health, Inc. (AMA Health Heart and Vascular)
- MCR Health, Inc. (Advanced Specialty Institute Pain Mgmt II)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.