| Mosaic Community Health | |
|
375 Nw Beaver Street Suite 101 Prineville OR 97754 | |
| (541) 447-0707 | |
| (541) 447-0708 |
| Full Name | Mosaic Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 Nw Beaver Street, Prineville, Oregon |
| Authorized Official Name and Position | Steven Strang (CFO) |
| Authorized Official Contact | 5417886470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Community Health 600 Sw Columbia St Suite 6210 Bend OR 97702-1099 Ph: (541) 323-3181 | Mosaic Community Health 375 Nw Beaver Street Suite 101 Prineville OR 97754 Ph: (541) 447-0707 |
| NPI Number | 1083633184 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 5395653497 |
|---|---|
| Medicare Enrollment ID | O20021220000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083633184 | NPI | - | NPPES |
| 182960 | Medicaid | OR |
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