Organization
MOSAIC COMMUNITY HEALTH
Active
Other names
Mosaic Medical, Ochoco Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN STRANG (CFO)
(541) 788-6470
Entity
Organization
Contact information
Practice address
375 NW BEAVER STREET, SUITE 101, PRINEVILLE, OR 97754
(541) 447-0707
(541) 447-0708
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 323-3181
(541) 706-9895
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182960
—
OR
Enumeration date
07/19/2006
Last updated
04/19/2023
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