Mosaic Medical

LBN: Mosaic Medical
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 Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mosaic Medical can be contacted via phone (541) 383-3005, or through Surplus, Bobbi Jolyne via phone (541) 408-9486.

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: Surplus, Bobbi Jolyne
Phone: (541) 408-9486

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730830365
LBN Legal business name Mosaic Medical
DBA Doing business as
Authorized official Surplus, Bobbi Jolyne
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 14th, 2022
Last updated Jan 14th, 2022 - about 4 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 1730830365 NPPES
Oregon Other 0003755 PHARMACY BOARD

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