Organization
MOSAIC HEALTH, INC.
Active
Other names
Rochester Primary Care Network, Inc., Rushville Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLSCAMP (CFO)
(585) 325-2280
Entity
Organization
Contact information
Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4400
Mailing address
1 S WASHINGTON ST STE 300, ROCHESTER, NY 14614-1134
(585) 325-2280
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
05/11/2010
Last updated
05/05/2022
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