Mosaic Medical

LBN: Mosaic Medical
Mosaic Medical is an health care organization with primary practice located at 375 Nw Beaver St Ste 101 , Prineville OR 97754-1802. 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 Medical can be contacted via phone (541) 408-9486, or through Surplus, Bobbi Jolyne via phone (541) 408-9486.

Contact Information

Primary practice address
375 Nw Beaver St Ste 101 Prineville OR 97754-1802
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 1629627203
LBN Legal business name Mosaic Medical
DBA Doing business as
Authorized official Surplus, Bobbi Jolyne
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2019
Last updated Sep 6th, 2019 - about 7 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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