| Mosaic Medical | |
|
2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 | |
| (541) 408-9486 | |
| (541) 647-2793 |
| Full Name | Mosaic Medical |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2065 Ne Tucson Way Apt 110, Bend, Oregon |
| Authorized Official Name and Position | Bobbi Jolyne Surplus (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5414089486 |
| 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) 408-9486 | Mosaic Medical 2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 Ph: (541) 408-9486 |
| NPI Number | 1184273757 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184273757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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