| Mosaic Medical | |
|
500 Ne A St Ste 101 Madras OR 97741-1842 | |
| (541) 383-3005 | |
| (541) 383-1883 |
| Full Name | Mosaic Medical |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 500 Ne A St Ste 101, Madras, Oregon |
| Authorized Official Name and Position | Kim Thomas (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5416175369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Medical Po Box 4228 Portland OR 97208-4228 Ph: (541) 617-5369 | Mosaic Medical 500 Ne A St Ste 101 Madras OR 97741-1842 Ph: (541) 383-3005 |
| NPI Number | 1457900011 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 07/17/2026 |
| Certification Date | 07/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457900011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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