MCR Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MCR HEALTH, INC.

Doing business as

Dr. George Van Buren Children and Family Healthcare Center

Practice address

712 39TH St W
Bradenton, FL 34205-2454

Phone

(941) 748-4602

Fax

(941) 708-8893

NPI assigned

Jul 4, 2006

Last updated

Mar 8, 2024By 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

Melvin B Price

Title

President and Ceo

Phone

(941) 776-4000

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Dr. George Van Buren Children and Family Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871523795. Details of each certification follow.

• CCN 101974 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 101974

Legal name

MCR HEALTH INC

Doing business as

DR. GEORGE VAN BUREN CHILDREN AND FAMILY HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 2, 2005

Last certification

Aug 2, 2005

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 11, 1978 in FL

Enrollment address

712 39TH St W
Bradenton, FL 34205-2454

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Manatee County Rural He130 organizations share this tax ID, including this one

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.

• MCR Health, Inc.

  • General Practice Physician
  • Arcadia, FL
  • NPI 1770964843
  NPD tax ID
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arcadia, FL
  • NPI 1770989683
  NPD tax ID
• MCR Health, Inc.

  dba Vision Mobile Bus

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1780410241
  NPD tax ID
• MCR Health, Inc.

  dba Advanced Specialty Institute Pain Mgmt

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
  • NPI 1790602795
  NPD tax ID
• MCR Health, Inc.

  dba Ama Sarasota

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1801376306
  NPD tax ID
• MCR Health, Inc.

  dba South County Medical Center

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1811368095
  NPD tax ID
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD tax ID
• MCR Health, Inc.

  dba MCR Health Fruitville Behavioral Health

  • Community/Behavioral Health Agency
  • Sarasota, FL
  • NPI 1831024033
  NPD tax ID
• MCR Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bradenton, FL
  • NPI 1831406321
  NPD tax ID
• MCR Health, Inc.

  dba MCR Medical Express

  • Family Medicine Physician
  • Parrish, FL
  • NPI 1831730134
  NPD tax ID
• MCR Health, Inc.

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1841584414
  NPD tax ID
• MCR Health, Inc.

  dba MCR Health Southeast High School

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1871144923
  NPD tax ID

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Melvin Bernard Price, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
  • NPI 1841267424

  Corporate Officer, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1871523795",
    "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": "712 39TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052454",
            "telephone_number": "941-748-4602",
            "fax_number": "941-708-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. George Van Buren Children and Family Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MCR Health, Inc. (Advanced Specialty Institute Pain Mgmt)
• MCR Health, Inc. (Advance Specialty Institute)
• MCR Health, Inc. (Riverside Medical Center)
• MCR Health, Inc.
• MCR Health, Inc. (MCR Health Southeast High School)
• MCR Health, Inc. (South Manatee Pediatrics)
• MCR Health, Inc. (River Landings OB/GYN)
• MCR Health, Inc.
• MCR Health, Inc. (Towers Healthcare Center)
• MCR Health, Inc. (Advanced Specialty Institute Cardiology)

• Federally Qualified Health Center (FQHC) in Bradenton, FL
• Providers in Bradenton, 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 Mar 8, 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.
• 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.

Verify at the official NPI Registry.