OrganizationActive
Mosaic Medical
NPI 1679811954 · Federally Qualified Health Center (FQHC) · Prineville, OR
Provider details
- NPI number
- 1679811954
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Mosaic Medical
- Organization subpart
- Yes
- Authorized official
- Megan Haase, Ceo(541) 447-0707
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 Nw Beaver St
Suite 101
Prineville, OR 97754-1802
Phone: (541) 447-0707
Fax: (541) 383-1883
Street-level locationGet directions
Mailing address
600 Sw Columbia St
Bend, OR 97702-1099
Other names (DBA / former)
- Doing business as
- Mosaic Medical Prineville
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2016-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.