Organization Active NPI

MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
National Provider Identifier
1821708504
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MCR HEALTH, INC.
Practice address
6015 Pointe West Blvd
Bradenton, FL 34209-5525
Phone
(941) 776-4000
NPI assigned
Dec 2, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Melvin B Price
Title
President & Ceo
Phone
(941) 776-4000

Owners & managing parties with NPI records 1

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230128000486 FL Part A Provider - Federally Qualified Health Center (FQHC) 7214847995 Practice locations: Bradenton, FL
O20230331000177 FL DME Supplier - Physician - Podiatry 7214847995 Practice locations: Bradenton, FL

Federally qualified health center certification: CCN 101943

Legal name
MCR HEALTH INC
Doing business as
ADVANCED SPECIALTY INSTITUTE AT POINT WEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 28, 2023
Last certification
Jan 28, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1978 in FL
Enrollment address
6015 Pointe West Blvd
Bradenton, FL 34209-5525

All disclosed owners & managing parties 11

Medicare enrollment files

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 Director Nov 29, 2023
Janene M Amick Individual Corporate Director Nov 29, 2023
Daniel J Friedrick Individual Corporate Director Nov 29, 2023
Reginald J Bellamy Individual Corporate Director Nov 29, 2023
Leroy J Washington Individual Corporate Director Nov 29, 2023
Stephen S Wicker Individual Corporate DirectorBoard Member Oct 1, 2012
Lynette Edwards Individual Corporate DirectorBoard Member Oct 1, 2012
Edna Y Baugh Individual Corporate Director Nov 29, 2023
Daniel Jaime Individual Corporate Director Nov 29, 2023
Melvin B Price Individual Corporate OfficerInterim President & Ceo Nov 9, 2022
Operational/Managerial ControlPresident & Ceo Nov 9, 2022
Kathleen a Hargreaves Individual Corporate Director Nov 29, 2023

All facility ownership & control disclosures 16

Medicare enrollment files

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

National Provider Directory

National Provider Directory

Locations

6015 Pointe West Blvd
Ste 710
Bradenton, FL 34209

Specialties & licenses 10

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

NPPES NPI Registry

Primary practice location

6015 Pointe West Blvd
Bradenton, FL 34209-5525

Mailing address

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

Other names 1

NPPES NPI Registry
  • Advance Specialty Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2024.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1821708504",
    "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"
        },
        {
            "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": "941-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "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": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Specialty Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.