| Mosaic Medical Complex Care Center | |
|
2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 | |
| (541) 419-1607 | |
| (541) 383-1883 |
| Full Name | Mosaic Medical Complex Care Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2065 Ne Tucson Way Apt 110, Bend, Oregon |
| Authorized Official Name and Position | Megan Haase (CEO) |
| Authorized Official Contact | 5413833005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Medical Complex Care Center 600 Sw Columbia St Suite 6210 Bend OR 97702-1099 Ph: (541) 323-3181 | Mosaic Medical Complex Care Center 2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 Ph: (541) 419-1607 |
| NPI Number | 1710328992 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710328992 | NPI | - | NPPES |
| 182960 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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Adam Derr, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 |
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