Organization
MOSAIC COMMUNITY HEALTH
Active
Parent organization
MOSAIC COMMUNITY HEALTH
Other names
Mosaic Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSAIC COMMUNITY HEALTH
Authorized official
KIM THOMAS (REVENUE CYCLE MANAGER)
(541) 617-5369
Entity
Organization
Contact information
Practice address
2065 NE TUCSON WAY APT 110, BEND, OR 97701-5182
(541) 408-9486
(541) 647-2793
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 617-5369
(541) 323-3866
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
07/17/2026
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