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Mosaic Community Health
Federally Qualified Health Center (FQHC) in Prineville, Oregon
NPI 1205174653

Mosaic Community Health is a Federally Qualified Health Center (FQHC) based in Bend, OR and is specialized in Federally Qualified Health Center (FQHC). Mosaic Community Health practices in Prineville, OR. The NPI Number for Mosaic Community Health is 1205174653 and holds a License No. (Oregon).

The current practice location address for Mosaic Community Health is 757 Ne 1St Street, Prineville, OR and can be reached out via phone at 541-323-4272 and via fax at 541-383-1883.

Location: 757 Ne 1St Street, Prineville, OR, 97702-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205174653
Provider Name
Mosaic Community Health
Credential
Provider Entity Type
Organization
Address
757 Ne 1St Street, Prineville, OR, 97702-1099
Phone Number
541-323-4272
Fax Number
541-383-1883
Provider Enumeration Date
01/18/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182960 05 OR
institution
Provider Business Practice Location Address Details
Address
757 Ne 1St Street
City
Prineville
State
Oregon
Zip
97754-2003
Phone Number
541-323-4272
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
757 Ne 1St Street
City
Prineville
State
Oregon
Zip
97754-2003
Phone Number
541-323-4272
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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