MCR HEALTH INC. NPI 1417437872

NPI Information

NPI: 1417437872
Provider Name: MCR HEALTH, INC.

Doing Business As: AMA WAUCHULA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
508 S 6TH AVE
WAUCHULA, FL
ZIP 33873
Phone: (863) 473-4733
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MCR HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Wauchula, FL. MCR HEALTH, INC. NPI is 1417437872. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ama Wauchula.

The provider's business location address is:

508 S 6TH AVE
WAUCHULA, FL
ZIP 33873-211
Phone: (863) 473-4733

The provider's authorized official is Patrick Carnegie .
The authorized official title is President And Ceo and has the following contact phone number (941) 776-4000.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 6/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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