Organization
MOSAIC HEALTH, INC.
Active
Other names
Rochester Primary Care Network, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLSCAMP (CFO)
(585) 287-8858
Entity
Organization
Contact information
Practice address
4100 BALDWIN RD, RUSHVILLE, NY 14544-9738
(585) 287-8844
Mailing address
1 S WASHINGTON ST STE 300, ROCHESTER, NY 14614-1134
(585) 325-2280
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618199
—
NY
Enumeration date
06/25/2024
Last updated
09/24/2024
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