Organization
MOSAIC MEDICAL
Active
Parent organization
MOSAIC MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSAIC MEDICAL
Authorized official
BOBBI JOLYNE SURPLUS (REVENUE CYCLE MANAGER)
(541) 408-9486
Entity
Organization
Contact information
Practice address
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754-1802
(541) 408-9486
(541) 647-2793
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
09/06/2019
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