Organization
MOSAIC HEALTH, INC.
Active
Other names
Rochester Primary Care Network, Inc., Wayne Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLSCAMP (CFO)
(585) 325-2280
Entity
Organization
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 871-3178
(844) 683-9216
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 871-3178
(844) 683-9216
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618199
—
NY
Enumeration date
09/19/2013
Last updated
09/02/2022
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