MOSAIC COMMUNITY HEALTH NPI 1184273757

NPI Information

  • NPI: 1184273757
  • Provider Name: MOSAIC COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MOSAIC MEDICAL
  • Address: 2065 NE TUCSON WAY APT 110
    BEND, OR
    ZIP 97701
  • Phone: (541) 408-9486

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NPI Details

MOSAIC COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Bend, OR. MOSAIC COMMUNITY HEALTH NPI is 1184273757. The provider is registered as an organization entity type.
The provider Is Doing Business As Mosaic Medical.

The provider's business location address is:

2065 NE TUCSON WAY APT 110
BEND, OR
ZIP 97701-182
Phone: (541) 408-9486
Fax: (541) 647-2793

The provider's authorized official is Bobbi Jolyne Surplus .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (541) 408-9486.

The enumeration date for this NPI number is 9/6/2019 and was last updated on 4/20/2023.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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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