Mosaic Medical

LBN: Mosaic Community Health
Mosaic Medical is an health care organization with primary practice located at 500 Ne A St Ste 101 , Madras OR 97741-1842. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Mosaic Community Health can be contacted via phone (541) 383-3005, or through Haase, Megan via phone (541) 383-3005.

Contact Information

Primary practice address
500 Ne A St Ste 101 Madras OR 97741-1842
Phone: (541) 383-3005
Fax: (541) 383-1883
Website:
Map and Directions
Authorized official contact:
Name: Haase, Megan Family Nurse Practitioner (FNP)
Phone: (541) 383-3005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1124366570
LBN Legal business name Mosaic Community Health
DBA Doing business as Mosaic Medical
Authorized official Haase, Megan Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2013
Last updated Apr 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124366570 NPPES
Oregon MEDICAID 182960

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