MOSAIC COMMUNITY HEALTH NPI 1184273757

NPI Information

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:

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