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Organization

MOSAIC COMMUNITY HEALTH

Active
Parent organization
MOSAIC COMMUNITY HEALTH
Other names
Mosaic Medical, Ariel Glen & Ariel South Community Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOSAIC COMMUNITY HEALTH
Authorized official
MEGAN HAASE NP (CEO)
(541) 447-0707
Entity
Organization

Contact information

Practice address
1700 SE TEMPEST DR, BEND, OR 97702-1884
(541) 383-3005
(541) 383-1883
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182960
OR
Enumeration date
07/09/2014
Last updated
04/20/2023
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