Organization · Type 2 NPI

Mosaic Community Health

Federally Qualified Health Center (FQHC) · Prineville, OR

NPI number 1205174653 Active

Practice location

757 NE 1st Street
Prineville, OR 97754-2003

Call (541) 323-4272 Map

Fax (541) 383-1883

Mailing address

PO Box 4228
Portland, OR 97208-4228

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Prineville

Mosaic Community HealthFederally Qualified Health Center (FQHC) Prineville, OR NPI 1083633184
Mosaic Medical DentalFederally Qualified Health Center (FQHC) Prineville, OR NPI 1174066963
Mosaic MedicalFederally Qualified Health Center (FQHC) Prineville, OR NPI 1629627203
Mosaic MedicalFederally Qualified Health Center (FQHC) Prineville, OR NPI 1679811954

See all in Prineville →

NPI record

NPI: 1205174653
Entity type: Organization (Type 2)
Issued: Jan 18, 2013
Last updated: Jul 16, 2026
Status: Active
Subpart: Yes of Mosaic Community Health

Other names

<unavail>
Mosaic Medical · doing business as
Mosaic Medical Crook Kids Clinic · doing business as

Authorized official

Megan Haase, FNP
CEO
(541) 447-0707

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205174653

Mosaic Community Health's National Provider Identifier is 1205174653, issued on Jan 18, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Prineville, OR. The record was last updated on Jul 16, 2026.