Mosaic Health, Inc. | |
1651 Oneida St Utica NY 13501-4723 | |
(315) 793-7600 | |
Not Available |
Full Name | Mosaic Health, Inc. |
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Speciality | Clinic/Center |
Location | 1651 Oneida St, Utica, New York |
Authorized Official Name and Position | Lisa Olscamp (CFO) |
Authorized Official Contact | 8553252280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mosaic Health, Inc. 1 S Washington St Ste 300 Rochester NY 14614-1134 Ph: (585) 325-2280 | Mosaic Health, Inc. 1651 Oneida St Utica NY 13501-4723 Ph: (315) 793-7600 |
NPI Number | 1649587627 |
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Provider Enumeration Date | 09/11/2010 |
Last Update Date | 05/05/2022 |
Medicare PECOS PAC ID | 4385826585 |
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Medicare Enrollment ID | O20110927000038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649587627 | NPI | - | NPPES |
00618199 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
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