Organization
MOSAIC HEALTH, INC.
Active
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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