| Mosaic Medical Prineville | |
|
375 Nw Beaver St Suite 101 Prineville OR 97754-1802 | |
| (541) 447-0707 | |
| (541) 383-1883 |
| Full Name | Mosaic Medical Prineville |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 375 Nw Beaver St, Prineville, Oregon |
| Authorized Official Name and Position | Megan Haase (CEO) |
| Authorized Official Contact | 5414470707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Medical Prineville 600 Sw Columbia St Suite 6210 Bend OR 97702-1099 Ph: (541) 447-0707 | Mosaic Medical Prineville 375 Nw Beaver St Suite 101 Prineville OR 97754-1802 Ph: (541) 447-0707 |
| NPI Number | 1679811954 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811954 | NPI | - | NPPES |
| 182960 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Ne 1st Street, Prineville, OR 97754 Phone: 541-323-4272 Fax: 541-383-1883 | |
St. Charles Family Care - Prineville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 384 Se Combs Flat Rd, Suite 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
High Desert Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm Street, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-408-9486 Fax: 541-647-2793 |