NPIMap

Organization Active NPI

Mosaic Community Health

Doing business as Mosaic Medical

  • Federally Qualified Health Center (FQHC)
  • Prineville, OR
National Provider Identifier
1083633184
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOSAIC COMMUNITY HEALTH
Doing business as
Mosaic Medical
Practice address
375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Phone
(541) 447-0707
Fax
(541) 447-0708
NPI assigned
Jul 19, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Strang
Title
Cfo
Phone
(541) 788-6470

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

375 NW Beaver St Ste 101
Prineville, OR 97754-1802

Mailing address

PO Box 4228
Portland, OR 97208-4228
Phone (541) 617-5369

Other identifiers 1

IdentifierTypeStateIssuer
182960MedicaidOR

Other names 2

  • Mosaic Medical Doing business as
  • Ochoco Health Systems Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20021220000010 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Prineville, OR
O20040528001371 OR Part B Supplier - Clinic/Group Practice 5395653497 Receives reassigned benefits from 120 practitioners
Practice locations: Bend, OR; Redmond, OR; Prineville, OR; Madras, OR
O20050211000173 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Bend, OR
O20060417000076 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 1 other NPI on this enrollment
Practice locations: Madras, OR
O20140205000827 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Bend, OR
O20140714002144 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 1 other NPI on this enrollment
Practice locations: Bend, OR
O20140722000638 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Redmond, OR
O20180411001816 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Bend, OR
O20231218004042 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 Practice locations: Sisters, OR

NPI to CCN mapping 8

The Medicare certification numbers (CCNs) connected to NPI 1083633184. Details of each certification follow.

Federally qualified health center certification: CCN 381848

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 23, 2002
Last certification
Dec 23, 2002
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
375 NW Beaver St
Ste 101
Prineville, OR 97754-1802

Federally qualified health center certification: CCN 381886

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 5, 2005
Last certification
Apr 5, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
2084 NE Professional CT
Bend, OR 97701-6077

Federally qualified health center certification: CCN 381860

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2004
Last certification
Feb 18, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
500 NE a St
Ste 100
Madras, OR 97741-1842

Federally qualified health center certification: CCN 381941

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 10, 2014
Last certification
Feb 10, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
2065 NE Tucson Way
Apt 110
Bend, OR 97701-5182

Federally qualified health center certification: CCN 381948

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 27, 2014
Last certification
Jun 27, 2014
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
1128 NW Harriman St
Bend, OR 97703-1947

Federally qualified health center certification: CCN 381942

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 2014
Last certification
Feb 14, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
1250 SW Veterans Way
Ste 120
Redmond, OR 97756-2588

Federally qualified health center certification: CCN 381985

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 29, 2018
Last certification
Mar 29, 2018
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
2577 NE Courtney Dr
Ste 100
Bend, OR 97701-7752

Federally qualified health center certification: CCN 381025

Legal name
MOSAIC COMMUNITY HEALTH
Doing business as
MOSAIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 21, 2023
Last certification
Nov 21, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in OR
Enrollment address
535 N Reed St
Sisters, OR 97759-3162

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2965 NE Conners Ave
Ste 280
Bend, OR 97701
Phone (541) 323-4269

409 NE Greenwood Ave
#101
Bend, OR 97701

600 SW Columbia St
Ste 6250
Bend, OR 97702

850 SW 4th St
Ste 101
Madras, OR 97741
Phone (541) 475-7800

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

757 E 1st St
Prineville, OR 97754
Phone (541) 323-4272

980 N Main St
Prineville, OR 97754
Phone (541) 416-2002

1250 SW Veterans Way
Ste 120
Redmond, OR 97756
Phone (541) 408-9486

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Strang Individual Corporate OfficerChief Financial Officer Jul 1, 2018 10%
Corporate OfficerChief Financial Officer Jul 14, 2018 10%
Corporate OfficerCfo Feb 10, 2014 5%
Corporate OfficerCfo Feb 10, 2014
James Gemelas Individual Corporate DirectorBoard Member Jun 1, 2023 5%
Corporate DirectorBoard Member Jun 1, 2019
John Willard McLaughlin Individual Corporate DirectorBoard Member Jun 1, 2016
Corporate DirectorBoard Member Jun 1, 2016 5%
Corporate DirectorBoard Member Sep 1, 2017 5%
Mistilyn Gebow Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Natalie Jean Stevens Individual Corporate DirectorBoard Member Jun 1, 2016
Corporate DirectorBoard Member Jun 1, 2016 5%
Corporate DirectorBoard Member Sep 1, 2017 5%
Jeffery Glen Baker Individual Corporate DirectorBoard Member Jun 1, 2016
Corporate DirectorBoard Member Sep 1, 2017 5%
Chandra K Atwood Individual Corporate DirectorBoard Member Jun 1, 2018
Corporate DirectorBoard Member Jan 1, 2023 5%
Todd Riley Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Nadine Sparago Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Roderick J Ray Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Corporate DirectorBoard Member May 1, 2018
Megan M Haase Individual Corporate OfficerChief Executive Officer Apr 8, 2010 20%
Operational/Managerial ControlChief Executive Officer May 1, 2010 20%
Corporate OfficerChief Executive Officer May 1, 2010 20%
Corporate OfficerCeo May 1, 2013 50%
Operational/Managerial ControlCeo May 1, 2013 100%
Corporate Officer May 1, 2014
W-2 Managing Employee May 1, 2014
Operational/Managerial Control May 1, 2014
Corporate OfficerChief Executive Officer May 1, 2013 20%
Operational/Managerial ControlChief Executive Officer May 1, 2013 20%

Practitioners & affiliated clinicians

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1083633184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4228",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084228",
            "telephone_number": "541-617-5369",
            "fax_number": "541-323-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 NW BEAVER ST STE 101",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541802",
            "telephone_number": "541-447-0707",
            "fax_number": "541-447-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "STRANG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-788-6470"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182960",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochoco Health Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ochoco Health Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

Verify at the official NPI Registry.