MOSAIC NPI 1730231663

NPI Information

NPI: 1730231663
Provider Name: MOSAIC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1200 S 15TH ST
DENISON, IA
ZIP 51442
Phone: (712) 644-2378
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MOSAIC is an intermediate care facility mentally retarded in Denison, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MOSAIC NPI is 1730231663. The provider is registered as an organization entity type.

The provider's business location address is:

1200 S 15TH ST
DENISON, IA
ZIP 51442-800
Phone: (712) 644-2378
Fax: (712) 664-3501

The provider's authorized official is Jeri Sole .
The authorized official title is Director Of Billing and has the following contact phone number (402) 896-5827.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		240787	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0882001	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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