Provider Demographics
NPI:1235713728
Name:MOSAIC COMMUNITY HEALTH
Entity Type:Organization
Organization Name:MOSAIC COMMUNITY HEALTH
Other - Org Name:MOSAIC MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBI
Authorized Official - Middle Name:JOLYNE
Authorized Official - Last Name:SURPLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-408-9486
Mailing Address - Street 1:600 SW COLUMBIA ST STE 6150
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1099
Mailing Address - Country:US
Mailing Address - Phone:541-408-9486
Mailing Address - Fax:541-383-1883
Practice Address - Street 1:2065 NE TUCSON WAY
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-5182
Practice Address - Country:US
Practice Address - Phone:541-383-3005
Practice Address - Fax:541-383-1883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOSAIC COMMUNITY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-11
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy