MCR HEALTH, INC.

Dentist

Code: 122300000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X

Non-Pharmacy Dispensing Site

Code: 332900000X

Family Medicine

Code: 207Q00000X