Organization · Type 2 NPI

Mosaic Health, Inc.

Federally Qualified Health Center (FQHC) · Rushville, NY

NPI number 1336984178 Active

Practice location

4100 Baldwin Rd
Rushville, NY 14544-9738

Call (585) 287-8844 Map

Mailing address

1 S Washington St Ste 300
Rochester, NY 14614-1134

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Student Health Clinic/Center	261QS1000X	None listed

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

5 other providers at this address

Gorham Middlesex Central SchoolLocal Education Agency (LEA) Rushville, NY NPI 1215081260
Mosaic Health IncFederally Qualified Health Center (FQHC) Rushville, NY NPI 1760213631
Cheryl Ann Wagner MacdonaldSpeech-Language Pathologist Rushville, NY NPI 1700164142
Ellen G. Lightfoote, RNRegistered Nurse Rushville, NY NPI 1477822062
Joelle S. Davis, LMSWSchool Social Worker Rushville, NY NPI 1407744576

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NPI record

NPI: 1336984178
Entity type: Organization (Type 2)
Issued: Jun 25, 2024
Last updated: Sep 24, 2024
Status: Active

Other names

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Rochester Primary Care Network, Inc. · former legal business name
Rochester Primary Care Network, Inc. · former legal business name

Authorized official

Lisa Olscamp
CFO
(585) 287-8858

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 1336984178

Mosaic Health, Inc.'s National Provider Identifier is 1336984178, issued on Jun 25, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rushville, NY. The record was last updated on Sep 24, 2024.