Mosaic Medical

LBN: Mosaic Community Health
Mosaic Medical is an health care organization with primary practice located at 2065 Ne Tucson Way Apt 110 , Bend OR 97701-5182. 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) 408-9486, or through Surplus, Bobbi Jolyne via phone (541) 408-9486.

Contact Information

Primary practice address
2065 Ne Tucson Way Apt 110 Bend OR 97701-5182
Phone: (541) 408-9486
Fax: (541) 647-2793
Website:
Map and Directions
Authorized official contact:
Name: Surplus, Bobbi Jolyne
Phone: (541) 408-9486

Health care specialties

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

Profile Details

NPI number 1184273757
LBN Legal business name Mosaic Community Health
DBA Doing business as Mosaic Medical
Authorized official Surplus, Bobbi Jolyne
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2019
Last updated Apr 20th, 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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