Organization · Type 2 NPI

Mosaic Medical

Federally Qualified Health Center (FQHC) · Prineville, OR

NPI number 1629627203 Active

Practice location

375 NW Beaver St Ste 101
Prineville, OR 97754-1802

Fax (541) 647-2793

Mailing address

600 SW Columbia St Ste 6210
Bend, OR 97702-1099

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1629627203

Mosaic Medical's National Provider Identifier is 1629627203, issued on Sep 6, 2019. 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 Sep 6, 2019.