MOSAIC COMMUNITY HEALTH NPI 1083633184

NPI Information

  • NPI: 1083633184
  • Provider Name: MOSAIC COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Former Legal Business Name: OCHOCO HEALTH SYSTEMS
  • Address: 375 NW BEAVER STREET
    SUITE 101
    PRINEVILLE, OR
    ZIP 97754
  • Phone: (541) 447-0707

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NPI Details

MOSAIC COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Prineville, OR. MOSAIC COMMUNITY HEALTH NPI is 1083633184. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ochoco Health Systems.

The provider's business location address is:

375 NW BEAVER STREET
SUITE 101
PRINEVILLE, OR
ZIP 97754
Phone: (541) 447-0707
Fax: (541) 447-0708

The provider's authorized official is Steven Strang .
The authorized official title is Cfo and has the following contact phone number (541) 788-6470.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/19/2023.

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
1261QD0000XClinic/CenterDentalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1182960MEDICAIDOREGON

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: 3/30/2025

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