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
Phone: (541) 383-3005
Fax: (541) 383-1883
Website:
Authorized official contact:
Name: Haase, Megan Family Nurse Practitioner (FNP)
Phone: (541) 447-0707
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588902860 | NPPES |
| Oregon | MEDICAID | 182960 |
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