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MOSAIC MEDICAL
NPI 1457900011
Clinic/Center - Federally Qualified Health Center (FQHC) in Madras, OR

Active since September 06, 2019
500 NE A ST STE 101, MADRAS, OR 97741(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 17, 2026, Oct 27, 2022, Apr 22, 2022 and 1 more (4 updates tracked since 2019).

About Mosaic Medical NPPES

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

MOSAIC MEDICAL (NPI 1457900011) is a healthcare organization registered as a federally qualified health center (fqhc) in Madras, Oregon and active in the NPI registry since September 2019. The organization lists Bobbi Jolyne Surplus, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1457900011
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSAIC COMMUNITY HEALTH
Location Address500 NE A ST STE 101Madras, OR 97741-1842
Mailing Address600 Sw Columbia St Ste 6210Bend, OR 97702-1099 · (541) 408-9486 · Fax (541) 647-2793
Phone(541) 383-3005
Fax(541) 383-1883
Organization SubpartYes
Authorized OfficialBobbi Jolyne SurplusRevenue Cycle Manager · (541) 408-9486
Enumeration DateSeptember 6, 2019
Last NPPES UpdateApril 19, 20234 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1457900011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
500 NE A ST STE 101, Madras, OR 97741
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Other Names 1

Doing Business AsMosaic Medical

Other Providers at the Same Location NPPES 2

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

MOSAIC COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
500 NE A ST STE 101
MADRAS, OR 97741
Jefferson County (541) 383-3005
MOSAIC MEDICAL
Pharmacy (Community/Retail Pharmacy)
500 NE A ST STE 101
MADRAS, OR 97741
Jefferson County (541) 383-3005

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 Community Health's NPI number?

The NPI number for Mosaic Community Health is 1457900011. It was assigned to this organization in the NPPES registry on September 6, 2019. The provider is doing business as Mosaic Medical.

Where is Mosaic Community Health located?

Mosaic Community Health is located at 500 NE A St Ste 101, Madras, OR 97741. The listed phone number is (541) 383-3005.

What is Mosaic Community Health's specialty?

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

When was this NPI record last updated?

The NPPES record for Mosaic Community Health was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.