Active NPI
MCR Health, Inc.
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
National Provider Identifier
1821708504
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Medicare participation
- All disclosed owners & managing parties11
- All facility ownership & control disclosures16
- National Provider Directory
- Specialties & licenses10
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Bradenton, FL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
- NPI 1841267424
Corporate Officer, Operational/Managerial Control
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Apr 11, 1978 in FL
- Enrollment address
- 6015 Pointe West Blvd
Bradenton, FL 34209-5525
All disclosed owners & managing parties 11
Medicare enrollment filesAs 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 | Oct 1, 2012 | |
| Lynette Edwards | Corporate Director | Oct 1, 2012 | |
| 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 |
All facility ownership & control disclosures 16
Medicare enrollment filesFacilities 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 |
National Provider Directory
National Provider DirectoryLocations
6015 Pointe West Blvd
Ste 710
Bradenton, FL 34209
Specialties & licenses 10
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Specialist | 174400000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Surgery Physician | 208600000X | |||
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.