MOSAIC HEALTH, INC.
NPI 1336984178
Clinic/Center - Federally Qualified Health Center (FQHC) in Rushville, NY

Active since June 25, 2024CLIA 33D2297362 · Waiver
4100 BALDWIN RD, RUSHVILLE, NY 14544(585) 287-8844 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jun 25, 2024 (2 updates tracked since 2024).

About Mosaic Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSAIC HEALTH, INC. (NPI 1336984178), doing business as Rochester Primary Care Network, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Rushville, New York and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Lisa Olscamp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336984178
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSAIC HEALTH, INC.
Location Address4100 BALDWIN RDRushville, NY 14544-9738
Mailing Address1 S Washington St Ste 300Rochester, NY 14614-1134 · (585) 325-2280
Organization SubpartNo
Authorized OfficialLisa OlscampCfo · (585) 287-8858
Enumeration DateJune 25, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1336984178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X
4100 BALDWIN RD, Rushville, NY 14544

Other Names 1

Former Legal Business NameRochester Primary Care Network, Inc.

Other Identifiers 1

Medicaid00618199NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2297362

Mosaic Health School Based Health Center · Rushville, NY
Active · expires Jan 15, 2028
CLIA Number33D2297362
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorCynthia L. Jones
Laboratory Phone(585) 260-2655
Laboratory LocationMosaic Health School Based Health Center4100 Baldwin Dr, Rushville, NY 14544
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
4100 BALDWIN RD
RUSHVILLE, NY 14544
Social Worker (School)
4100 BALDWIN RD
RUSHVILLE, NY 14544
Registered Nurse
4100 BALDWIN RD
RUSHVILLE, NY 14544
Speech-Language Pathologist
4100 BALDWIN RD
RUSHVILLE, NY 14544
Clinic/Center (Federally Qualified Health Center (FQHC))
4100 BALDWIN RD
RUSHVILLE, NY 14544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mosaic Health, Inc.'s NPI number?

The NPI number for Mosaic Health, Inc. is 1336984178. It was assigned to this organization in the NPPES registry on June 25, 2024. The provider was formerly known as Rochester Primary Care Network, Inc..

Where is Mosaic Health, Inc. located?

Mosaic Health, Inc. is located at 4100 Baldwin Rd, Rushville, NY 14544. The listed phone number is (585) 287-8844.

What is Mosaic Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Mosaic Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2297362) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mosaic Health, Inc. was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.