Mosaic Community Health | |
375 Nw Beaver Street Suite 101 Prineville OR 97754 | |
(541) 447-0707 | |
(541) 447-0708 |
Full Name | Mosaic Community Health |
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Speciality | Clinic/Center |
Location | 375 Nw Beaver Street, Prineville, Oregon |
Authorized Official Name and Position | Steven Strang (CFO) |
Authorized Official Contact | 5417886470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mosaic Community Health 600 Sw Columbia St Suite 6210 Bend OR 97702-1099 Ph: (541) 323-3181 | Mosaic Community Health 375 Nw Beaver Street Suite 101 Prineville OR 97754 Ph: (541) 447-0707 |
NPI Number | 1083633184 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 04/19/2023 |
Medicare PECOS PAC ID | 5395653497 |
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Medicare Enrollment ID | O20021220000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083633184 | NPI | - | NPPES |
182960 | Medicaid | OR |
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