MCR HEALTH, INC. (NPI# 1710530795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710530795 |
| Entity Type | Organization |
| Organization Name | MCR HEALTH, INC. |
| Other Organization Name | HEALTH AND WELLNESS DADE CITY |
| Practice Address |
38503 Centennial Rd Dade City FL 33525-1654 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417764000 |
| Mailing Telephone | 9417764000 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | PATRICK CARNEGIE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9417764000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health and Wellness Dade City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1477191658 | Mcr Health, Inc. | Family Medicine | 1148 E Gibson St Bldg C, Arcadia, FL 34266-5011 | 2019-12-18 |
| 1548810211 | Mcr Health, Inc. | Dentist | 3501 Cortez Rd W Ste 7, Bradenton, FL 34210-3196 | 2019-09-16 |
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1346893328 | Mcr Health, Inc. | Family Medicine | 5117 Madison St, New Port Richey, FL 34652-4312 | 2019-07-19 |
| 1346893260 | Mcr Health, Inc. | Internal Medicine | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-07-19 |
| 1144618703 | Mcr Health, Inc. | Clinic/Center | 707 N 12th Ave, Arcadia, FL 34266-8752 | 2015-01-06 |
| 1831406321 | Mcr Health, Inc. | Durable Medical Equipment & Medical Supplies | 1731 1st St, Bradenton, FL 34208-3501 | 2010-09-07 |
| 1982929709 | Mcr Health, Inc. | Family Medicine | 1945 Northgate Blvd, Sarasota, FL 34234-2143 | 2010-04-05 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Street Address |
38503 CENTENNIAL RD |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588007223 | Lisbey Valle | Nurse Practitioner | 38503 Centennial Rd, Dade City, FL 33525-1654 | 2013-04-11 |
| 1073166740 | Mcr Health, Inc. | Internal Medicine | 38503 Centennial Rd, Dade City, FL 33525-1654 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1881928869 | Premier Community Health Care Group, Inc. | Clinic/Center | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2009-09-24 |
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| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.