MOSAIC HEALTH INC. NPI 1649587627

NPI Information

NPI: 1649587627
Provider Name: MOSAIC HEALTH, INC.

Former Legal Business Name: ROCHESTER PRIMARY CARE NETWORK, INC.

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1651 ONEIDA ST
UTICA, NY
ZIP 13501
Phone: (315) 793-7600
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MOSAIC HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Utica, NY. MOSAIC HEALTH, INC. NPI is 1649587627. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Rochester Primary Care Network, Inc..

The provider's business location address is:

1651 ONEIDA ST
UTICA, NY
ZIP 13501-723
Phone: (315) 793-7600

The provider's authorized official is Lisa Olscamp .
The authorized official title is Cfo and has the following contact phone number (855) 325-2280.

The CLIA number assigned to this NPI record is 33D2300578 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2010 and was last updated on 5/5/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		NEW YORK	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	00618199	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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