Organization
MOSAIC COMMUNITY HEALTH
Active
Other names
Mosaic Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN HAASE FNP (CEO)
(541) 383-3005
Entity
Organization
Contact information
Practice address
500 NE A ST STE 101, MADRAS, OR 97741-1842
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182960
—
OR
Enumeration date
01/18/2013
Last updated
04/19/2023
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