Organization
MOSAIC COMMUNITY HEALTH
Active
Parent organization
MOSAIC COMMUNITY HEALTH
Other names
Mosaic Medical, Mosaic Medical Redmond
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSAIC COMMUNITY HEALTH
Authorized official
MEGAN HAASE FNP (CEO)
(541) 383-3005
Entity
Organization
Contact information
Practice address
1250 SW VETERANS WAY STE 120, REDMOND, OR 97756-2585
(541) 923-4462
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
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
01/18/2013
Last updated
04/20/2023
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