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MOSAIC MEDICAL PRINEVILLE
NPI 1679811954
Clinic/Center - Federally Qualified Health Center (FQHC) in Prineville, OR

Active since January 22, 2013
375 NW BEAVER ST, SUITE 101, PRINEVILLE, OR 97754(541) 447-0707(541) 383-1883 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mosaic Medical Prineville NPPES

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

MOSAIC MEDICAL PRINEVILLE (NPI 1679811954) is a healthcare organization registered as a federally qualified health center (fqhc) in Prineville, Oregon and active in the NPI registry since January 2013. The organization lists Megan Haase, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679811954
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSAIC MEDICAL
Location Address375 NW BEAVER ST, SUITE 101Prineville, OR 97754-1802
Mailing Address600 Sw Columbia St, Suite 6210Bend, OR 97702-1099 · (541) 447-0707 · Fax (541) 447-0708
Phone(541) 447-0707
Fax(541) 383-1883
Organization SubpartYes
Authorized OfficialMegan HaaseCeo · (541) 447-0707
Enumeration DateJanuary 22, 2013
Last NPPES UpdateApril 19, 2016
✔ NPI 1679811954 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
375 NW BEAVER ST, Prineville, OR 97754
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Other Names 1

Doing Business AsMosaic Medical Prineville

Other Identifiers 2

Medicare OSCAR/certification381848OR
Medicaid182960OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 15

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

MS. LINDA HATCH FNP
Nurse Practitioner (Family)
375 NW BEAVER ST
PRINEVILLE, OR 97754
Crook County (541) 447-0707
REBECCA G. LUNDGREN RN
Registered Nurse
375 NW BEAVER ST, SUITE 101
PRINEVILLE, OR 97754
Crook County (541) 447-0707
KAREN YEARGAIN LPN
Licensed Practical Nurse
375 NW BEAVER ST, STE 100
PRINEVILLE, OR 97754
Crook County (541) 447-5165
JENNIFER DAMORE NP
Nurse Practitioner (Women's Health)
375 NW BEAVER ST, SUITE 100
PRINEVILLE, OR 97754
Crook County (541) 447-5165
MOSAIC MEDICAL DENTAL
Clinic/Center (Federally Qualified Health Center (FQHC))
375 NW BEAVER ST, SUITE 101
PRINEVILLE, OR 97754
Crook County (541) 447-0707
SUSAN PUDDY RN
Registered Nurse (General Practice)
375 NW BEAVER ST
PRINEVILLE, OR 97754
Crook County (541) 447-5165
NELDA J GRYMES RN
Registered Nurse
375 NW BEAVER ST, STE. 100
PRINEVILLE, OR 97754
Crook County (541) 447-5165
WENDY PERRIN RN
Registered Nurse (Community Health)
375 NW BEAVER ST
PRINEVILLE, OR 97754
Crook County (541) 447-5165

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 Medical's NPI number?

The NPI number for Mosaic Medical is 1679811954. It was assigned to this organization in the NPPES registry on January 22, 2013. The provider is doing business as Mosaic Medical Prineville.

Where is Mosaic Medical located?

Mosaic Medical is located at 375 NW Beaver St Suite 101, Prineville, OR 97754. The listed phone number is (541) 447-0707.

What is Mosaic Medical's specialty?

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

What insurance does Mosaic Medical accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Mosaic Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mosaic Medical was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.