MOSAIC MEDICAL (NPI# 1689194474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689194474 |
Entity Type | Organization |
Organization Name | MOSAIC MEDICAL |
Other Organization Name | MOSAIC MEDICAL REDMOND HIGH SCHOOL BASED HEALTH CENTER |
Practice Address |
675 Sw Rimrock Way Redmond OR 97756-1931 |
Mailing Address |
600 Sw Columbia St Ste 6210 Bend OR 97702-1099 |
Practice Telephone | 5419235800 |
Practice Fax Number | 5413831883 |
Mailing Telephone | 5413833005 |
Mailing Fax Number | 5413831883 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2018-02-28 |
Authorized Official Name | MEGAN HAASE (CEO) |
Authorized Official Telephone | 5413833005 |
Is Organization Subpart | Y |
Parent Organization Name | MOSAIC MEDICAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 182960 | 05 |
Other Name | Type Code |
---|---|
Mosaic Medical Redmond High School Based Health Center | Doing Business As Name - Organization |
Redmond High School Based Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
1124366570 | Mosaic Medical | Clinic/Center | 850 Sw 4th St, Suite 101, Madras, OR 97741-9628 | 2013-01-18 |
1205174653 | Mosaic Medical | Clinic/Center | 757 Ne 1st Street, Prineville, OR 97754-2003 | 2013-01-18 |
1083633184 | Mosaic Medical | Clinic/Center | 375 Nw Beaver Street, Suite 101, Prineville, OR 97754 | 2006-07-19 |
1184273757 | Mosaic Medical | Clinic/Center | 2965 Ne Conners Ave Ste 280, Bend, OR 97701-7753 | 2019-09-06 |
1992354567 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 | 2019-09-06 |
1801445473 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2019-09-06 |
1457900011 | Mosaic Medical | Clinic/Center | 850 Sw 4th St Ste 101, Madras, OR 97741-9629 | 2019-09-06 |
1629627203 | Mosaic Medical | Clinic/Center | 375 Nw Beaver St Ste 101, Prineville, OR 97754-1802 | 2019-09-06 |
1528560091 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-03-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 S Main St, Maryville, MO 64468-2655 |
Iowa Business Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 South Main, Maryville, MO 64468 |
Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL GROUP, LLC | 1290 Green Meadows Way, Ashland, OR 97520 |
Colorado Business Entities | Mosaic Medical Massage, LLC | 1075 S. Yukon St., Unit 320, Lakewood, CO 80226 |
Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL PRODUCTS | 17300 Lake Haven Drive, Lake Oswego, OR 97035 |
Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL PRODUCTS LLC | 17300 Lake Haven Dr, Lake Oswego, OR 97035 |
Street Address |
675 SW RIMROCK WAY |
City | REDMOND |
State | OR |
Zip Code | 97756-1931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619044831 | Jasmine I Low | Pediatrics | 675 Sw Rimrock Way, Redmond, OR 97756 | 2006-11-30 |
1053931808 | Danielle Kathryn Carter | Social Worker | 675 Sw Rimrock Way, Redmond, OR 97756-1931 | 2020-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992354567 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 | 2019-09-06 |
1578801924 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2585 | 2013-01-18 |
1114265568 | Mosaic Medical | Clinic/Center | 1314 Sw Kalama Ave, Redmond, OR 97756-3054 | 2013-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.