Mosaic Medical Prineville

LBN: Mosaic Medical
Mosaic Medical Prineville is an health care organization with primary practice located at 375 Nw Beaver St Suite 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) 447-0707, or through Haase, Megan via phone (541) 447-0707.

Contact Information

Primary practice address
375 Nw Beaver St Suite 101 Prineville OR 97754-1802
Phone: (541) 447-0707
Fax: (541) 383-1883
Website:
Map and Directions
Authorized official contact:
Name: Haase, Megan Family Nurse Practitioner (FNP)
Phone: (541) 447-0707

Health care specialties

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

Profile Details

NPI number 1679811954
LBN Legal business name Mosaic Medical
DBA Doing business as Mosaic Medical Prineville
Authorized official Haase, Megan Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2013
Last updated Apr 19th, 2016 - about 10 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 1679811954 NPPES
Oregon MEDICAID 182960

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