MOSAIC MEDICAL
NPI 1528560091
Clinic/Center - Federally Qualified Health Center (FQHC) in Bend, OR

NPI Status: Active since March 01, 2018

Contact Information

2084 NE PROFESSIONAL CT
BEND, OR
ZIP 97701
Phone: (541) 383-3005
Fax: (541) 383-1883

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 38D2145191
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-01-2026

About MOSAIC MEDICAL

This page provides the complete NPI Profile along with additional information for Mosaic Medical, a primary care provider established in Bend, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1528560091 assigned on March 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Mosaic Medical. The authorized official of this NPI record is Megan Haase (Ceo)

NPI
1528560091
Provider Legal Name
MOSAIC COMMUNITY HEALTH
Other Organization Name
MOSAIC MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2084 NE PROFESSIONAL CT BEND, OR 97701
Location Phone
(541) 383-3005
Location Fax
(541) 383-1883
Mailing Address
600 SW COLUMBIA ST STE 6210 BEND, OR 97702
Mailing Phone
(541) 383-3005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-01-2018
Last Update Date
04-20-2023
Code Navigator

A primary care provider (PCP) like Mosaic Medical sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEGAN HAASE

Authorized Official Title
CEO
Authorized Official Phone
(541) 383-3005

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
182960MEDICAID (05)OR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2145191
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 02, 2024
Certificate Expiration Date
March 01, 2026
Laboratory Director
JOSHUA REIHER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mosaic Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528560091, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 1 + 0 + 6 + 0 + 0 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1528560091.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Surgery
2084 NE PROFESSIONAL CT
BEND, OR 97701
Marriage & Family Therapist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Family Medicine
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Family Medicine
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Federally Qualified Health Center (FQHC))
2084 NE PROFESSIONAL CT
BEND, OR 97701
Dental Hygienist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Social Worker (Clinical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Federally Qualified Health Center (FQHC))
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Multi-Specialty)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Interpreter
2084 NE PROFESSIONAL CT
BEND, OR 97701
Community Health Worker
2084 NE PROFESSIONAL CT
BEND, OR 97701
Community Health Worker
2084 NE PROFESSIONAL CT
BEND, OR 97701
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701
Internal Medicine (Gastroenterology)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528560091, enumerated as an "organization" on March 01, 2018.

The provider is located at 2084 NE PROFESSIONAL CT BEND, OR 97701 and the phone number is (541) 383-3005.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.