Mosaic Medical Crook Kids Clinic – Federally Qualified Health Center (FQHC), NPI 1205174653

Mosaic Medical Crook Kids Clinic is a healthcare provider. based in Bend, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Mosaic Medical Crook Kids Clinic is 1205174653

Main info

Organization
Name
Mosaic Medical Crook Kids Clinic
NPI
1205174653
Phone
(541) 323-3181
Address
600 SW COLUMBIA ST
Authorized Official
MEGAN HAASE CEO FNP
Enumeration Date
18 January 2013
Last Update Date
20 April 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Mosaic Medical Crook Kids Clinic

  • 600 SW COLUMBIA ST

    SUITE 6210

    BEND, OR 977021099

    Phone: (541) 323-3181

    Fax: (541) 706-9895

    Type: Mailing

  • 757 NE 1ST STREET

    PRINEVILLE, OR 977542003

    Phone: (541) 323-4272

    Fax: (541) 383-1883

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97702)

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Reviews

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Frequently asked questions

What federal number belongs to Mosaic Medical Crook Kids Clinic?
The federal identifier for Mosaic Medical Crook Kids Clinic is NPI 1205174653.
Is Mosaic Medical Crook Kids Clinic active in the national directory?
Mosaic Medical Crook Kids Clinic's public NPI profile is in an active state.
What field does Mosaic Medical Crook Kids Clinic work in?
You can think of Mosaic Medical Crook Kids Clinic as practicing within Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Does Mosaic Medical Crook Kids Clinic practice in Oregon?
You will see Bend, Oregon on file for Mosaic Medical Crook Kids Clinic alongside any extra practice locations.
Is Mosaic Medical Crook Kids Clinic a real provider?
This page reflects official NPPES data for NPI 1205174653. Always confirm identity and privileges with the practice and licensing boards.

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