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Organization
MOSAIC MEDICAL MOBILE UNIT
Active
Organization
MOSAIC MEDICAL MOBILE UNIT
Active
Parent organization
MOSAIC MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSAIC MEDICAL
Authorized official
MEGAN HAASE FNP (CEO)
(541) 447-0707
Entity
Organization
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
375 NW BEAVER ST, SUITE 101, PRINEVILLE, OR 97754-1802
(541) 447-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
01/22/2013
Last updated
06/30/2015
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