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
BOBBI JOLYNE SURPLUS (REVENUE CYCLE MANAGER)
(541) 408-9486
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 STE 6210, BEND, OR 97702-1099
(541) 408-9486
(541) 647-2793
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
04/19/2023
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