| Mosaic Health, Inc. | |
|
3 Parkside Ct Bldg 1 Utica NY 13501-5643 | |
| (585) 325-2280 | |
| Not Available |
| Full Name | Mosaic Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3 Parkside Ct Bldg 1, Utica, New York |
| Authorized Official Name and Position | Lisa Olscamp (CFO) |
| Authorized Official Contact | 5853252280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Health, Inc. 1 S Washington St Ste 300 Rochester NY 14614-1134 Ph: (585) 325-2280 | Mosaic Health, Inc. 3 Parkside Ct Bldg 1 Utica NY 13501-5643 Ph: (585) 325-2280 |
| NPI Number | 1134693708 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134693708 | NPI | - | NPPES |
| 00618199 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
A Louis Shaheen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Eagle Street, Utica, NY 13501 Phone: 315-735-4447 Fax: 315-735-4071 | |
Toby Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
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Douglas Ahn, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-738-7883 Fax: 315-738-0347 | |
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