MOSAIC HEALTH INC. NPI 1912225236

NPI Information

NPI: 1912225236
Provider Name: MOSAIC HEALTH, INC.

Doing Business As: RUSHVILLE HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 33D1062058

Address:
2 RUBIN DR
RUSHVILLE, NY
ZIP 14544
Phone: (585) 554-4400
Get Directions

MOSAIC HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Rushville, NY. MOSAIC HEALTH, INC. NPI is 1912225236. The provider is registered as an organization entity type.
The provider Is Doing Business As Rushville Health Center.

The provider's business location address is:

2 RUBIN DR
RUSHVILLE, NY
ZIP 14544-681
Phone: (585) 554-4400

The provider's authorized official is Lisa Olscamp .
The authorized official title is Cfo and has the following contact phone number (585) 325-2280.

The CLIA number assigned to this NPI record is 33D1062058 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2010 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: 5/5/2024

NPI Synchronization or Removal

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