Organization Active NPI

MCR Health, Inc.

Doing business as Advanced Specialty Institute Dermatology

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
National Provider Identifier
1740393073
Registry record updated Jun 10, 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
Advanced Specialty Institute Dermatology
Practice address
6015 Pointe West Blvd
Bradenton, FL 34209-5525
Phone
(941) 304-3971
NPI assigned
Aug 17, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU
Dermatology Physician 207N00000X NU
Podiatrist 213E00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

6015 Pointe West Blvd
Bradenton, FL 34209-5525

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8823
Phone (941) 776-4000

Other identifiers 3

IdentifierTypeStateIssuer
029561224MedicaidFL
029561225MedicaidFL
106152601MedicaidFL

Other names 1

  • Advanced Specialty Institute Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000342 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 1740393073. Details of each certification follow.

Federally qualified health center certification: CCN 101802

Legal name
MCR HEALTH INC
Doing business as
RIVERVIEW FOOT AND ANKLE SPECIALISTS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 10, 2006
Last certification
Nov 10, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1978 in FL
Enrollment address
300 Riverside Dr E
Ste 1500
Bradenton, FL 34208-1031

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Mary L Ruiz Individual Corporate DirectorChairman of the Board Nov 29, 2023
Janene M Amick Individual Corporate DirectorBoard of Director Nov 29, 2023
Daniel J Friedrick Individual Corporate DirectorBoard of Director Nov 29, 2023
Reginald J Bellamy Individual Corporate DirectorBoard of Director Nov 29, 2023
Leroy J Washington Individual Corporate DirectorBoard of Director Nov 29, 2023
Stephen S Wicker Individual Corporate DirectorSecretary / Treasurer Dec 1, 2013
Lynette Edwards Individual Corporate DirectorBoard of Director Jun 1, 2010
Edna Y Baugh Individual Corporate DirectorBoard of 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

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 16

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
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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1740393073",
    "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": "342058823",
            "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": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-304-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561224",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561225",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106152601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Specialty Institute Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.