Mosaic

LBN: Mosaic
Mosaic is an health care organization with primary practice located at 217 E 7Th St , Logan IA 51546-1348. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Mosaic can be contacted via phone (712) 644-2378, or through Sole, Jeri via phone (402) 896-5827.

Contact Information

Primary practice address
217 E 7Th St Logan IA 51546-1348
Phone: (712) 644-2378
Fax: (712) 664-3501
Website:
Map and Directions
Authorized official contact:
Name: Sole, Jeri
Phone: (402) 896-5827

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Iowa

Profile Details

NPI number 1659423572
LBN Legal business name Mosaic
DBA Doing business as
Authorized official Sole, Jeri
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659423572 NPPES
Iowa MEDICAID 0439232

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