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CH04431A MCR Health, Inc. (Active)
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Main Details
Name
MCR Health, Inc.
Subdivision Name
LAWTON CHILES CHILDREN & FAM HCC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005444
340B ID
CH04431A
Grant Number
H80CS00097
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
4/28/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
MCR Health
MONICA RIDER, Chief Medical Officer
(941) 999-0310
Primary Contact
MCR Health
Randy James Heiser, Senior Director of Pharmacy
(941) 224-3680
Addresses
Street Address
1515 26th Ave E
Bradenton, FL 34208-7707
Billing Address
MCR HEALTH INCORPORATED
101 Riverfront Blvd
Suite 710
Bradenton, FL 34205
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/15/10 ADDED SHIP TOS; 5/25/06 - ADDED MEDICAID #, 4/28/04 - CORRECTED ENTITY NAME (FORMERLY SAMOSET HEALTH CENTER)
09/15/2010
April 2025
April 2025
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