MCR HEALTH VENICE PEDIATRICS – NPI #1295388239
Clinic/Center

MCR HEALTH VENICE PEDIATRICS is an AHC clinic located in VENICE, FL. NPPES has assigned the NPI number 1295388239 to MCR HEALTH VENICE PEDIATRICS on July 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCR HEALTH VENICE PEDIATRICS” is a dba name, the actual legal business name for this organization is MCR HEALTH, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCR HEALTH VENICE PEDIATRICS below.

NPI Profile for
MCR HEALTH, INC.

NPI Number
1295388239
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCR HEALTH, INC.
Doing Business As (dba): MCR HEALTH VENICE PEDIATRICS
Primary location
119 SHAMROCK BLVD
VENICE, FL 34293-1630
Phone: (941) 776-4000 Fax: (941) 493-1672
Mailing address
101 RIVERFRONT BLVD STE 710
BRADENTON, FL 34205-8812
Phone: (941) 776-4000 Fax: (941) 845-4963
Organization Subpart
No
Authorized Official
MELVIN PRICE
PRESIDENT & CEO
Phone: (941) 776-4000
Updated
Certification Date
Nov 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.