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MOSAIC COMMUNITY SERVICES INC. NPI 1295489250


NPI Information

NPI: 1295489250
Provider Name: MOSAIC COMMUNITY SERVICES, INC.

Doing Business As: SHEPPARD PRATT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
219 W PATRICK ST
FREDERICK, MD
ZIP 21701
Phone: (301) 662-3223
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MOSAIC COMMUNITY SERVICES, INC. is a mental health (including community mental health center) clinic center in Frederick, MD. MOSAIC COMMUNITY SERVICES, INC. NPI is 1295489250. The provider is registered as an organization entity type.
The provider Is Doing Business As Sheppard Pratt.

The provider's business location address is:

219 W PATRICK ST
FREDERICK, MD
ZIP 21701-933
Phone: (301) 662-3223

The provider's authorized official is Sue Kessler .
The authorized official title is Dir, Revenue Cycle and has the following contact phone number (410) 382-8111.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 11/30/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11593803MEDICAIDMARYLAND

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: 4/28/2024

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