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CH04431BV MCR Health, Inc. (Terminated)
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Main Details
Name
MCR Health, Inc.
Subdivision Name
Riverside Medical Services 3300
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034285
340B ID
CH04431BV
Grant Number
H80CS00097
Additional Details
Current Program Status
Terminated
Registration Date
5/18/2022
Participating Start Date
7/1/2022
Participating Approval Date
6/2/2022
Last Recertification Date
2/20/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
300 Riverside Dr E Ste 3300
Bradenton, FL 34208-1024
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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