Mosaic Medical | |
2577 Ne Courtney Dr Ste 100 Bend OR 97701-7638 | |
(541) 383-3005 | |
Not Available |
Full Name | Mosaic Medical |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2577 Ne Courtney Dr Ste 100, Bend, Oregon |
Authorized Official Name and Position | Steve Strang (CFO) |
Authorized Official Contact | 5413833005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mosaic Medical 600 Sw Columbia St Ste 6210 Bend OR 97702-1099 Ph: (541) 383-3005 | Mosaic Medical 2577 Ne Courtney Dr Ste 100 Bend OR 97701-7638 Ph: (541) 383-3005 |
NPI Number | 1023523073 |
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Provider Enumeration Date | 12/12/2017 |
Last Update Date | 04/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023523073 | NPI | - | NPPES |
182960 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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