# MOSAIC MEDICAL MOBILE UNIT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOSAIC MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588902860
- **Legal business name:** MOSAIC MEDICAL
- **Authorized official:** MEGAN HAASE FNP (CEO)
- **Authorized official phone:** (541) 447-0707

## Contact information

- **Practice address:** 2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
- **Practice address phone:** (541) 383-3005
- **Practice address fax:** (541) 383-1883
- **Mailing address:** 375 NW BEAVER ST, SUITE 101, PRINEVILLE, OR 97754-1802
- **Mailing address phone:** (541) 447-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 06/30/2015