Mosaic Medical Mobile Unit

LBN: Mosaic Medical Mobile Unit
Mosaic Medical Mobile Unit is an health care organization with primary practice located at 2084 Ne Professional Ct , Bend OR 97701-6077. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mosaic Medical Mobile Unit can be contacted via phone (541) 383-3005, or through Haase, Megan via phone (541) 447-0707.

Contact Information

Primary practice address
2084 Ne Professional Ct Bend OR 97701-6077
Fax: (541) 383-1883
Website:
Authorized official contact:
Name: Haase, Megan Family Nurse Practitioner (FNP)

Profile Details

NPI number 1588902860
LBN Legal business name Mosaic Medical Mobile Unit
DBA Doing business as
Authorized official Haase, Megan Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2013
Last updated Jun 30th, 2015 - about 9 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 1588902860 NPPES
Oregon MEDICAID 182960

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