MCR HEALTH, INC. (NPI# 1194323717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194323717 |
| Entity Type | Organization |
| Organization Name | MCR HEALTH, INC. |
| Practice Address |
20360 Gator Ln Bldg 14 Land O Lakes FL 34638-2802 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 8886441448 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | PATRICK CARNEGIE (PRESIDENT & 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 Land O'Lakes | 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 |
20360 GATOR LN BLDG 14 |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34638-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893260 | Mcr Health, Inc. | Internal Medicine | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-07-19 |
| 1982250510 | Mcr Health, Inc. | Clinic/Center | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
| 1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
| 1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
| 1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
| 1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
| 1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
| 1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
| 1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
| 1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
| 1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
| Find all providers in zip 34638 | ||||
| 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 |
|---|---|---|---|---|
| 1982250510 | Mcr Health, Inc. | Clinic/Center | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-08-09 |
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| 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 |
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| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34638 |
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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.