MCR Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MCR HEALTH, INC.

Doing business as

Health and Wellness Dade City

Practice address

38503 Centennial Rd
Dade City, FL 33525-1654

Phone

(941) 776-4000

NPI assigned

Jul 19, 2019

Last updated

Sep 2, 2022By 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

Patrick Carnegie

Title

President and Ceo

Phone

(941) 776-4000

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Health and Wellness Dade City 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 1710530795. Details of each certification follow.

• CCN 681164 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681164

Legal name

MCR HEALTH INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 13, 2019

Last certification

Nov 13, 2019

Ownership / control type

For profit – partnership

Facility address

38503 Centennial Road
Dade City, FL 33525

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1710530795",
    "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": "38503 CENTENNIAL RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335251654",
            "telephone_number": "941-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060207809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Wellness Dade City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health and Wellness Dade City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McBath Medical Center PA
• Kyra Michelle McGee, RBT
• Tracy C McKay, D.O.
• Clarence McNair, DDS
• MCR Health, Inc. (Health and Wellness Dade City)
• Medical Risk Solutions (MHO-Pasco Schools EHC-Dade City)
• Sally Medina, P.A.
• Maureen June Meier, HHA
• Kaelyn Brooke Meinert
• Brennan Paul Melancon

• Federally Qualified Health Center (FQHC) in Dade City, FL
• Providers in Dade City, 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.