Mosaic
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Clarion, IA
NPI 1104192087 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1104192087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- MOSAIC
- Practice address
- 203 4TH Ave SE
Clarion, IA 50525-1828 - Phone
- (641) 585-5451
- NPI assigned
- Mar 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Scott Hoffman
- Title
- Senior VP & Chief Financial Officer
- Phone
- (402) 896-3884
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Mosaic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
203 4TH Ave SE
Clarion, IA 50525-1828
Mailing address
102 W Park St
Forest City, IA 50436-2132
Other providers in Clarion, IA
- Andrew Joseph McMurray
- Kelsey McOllough
- Alice Meng
- Joseph Miller
- Charles D. Mooney
- Mosaic
- Mr Pharmacy LLC
- Katrina Christine Nelson
- Nik M Nikoueiha
- North Central Iowa Mental Health Center, Inc
All providers in Clarion, IA · Intellectual Disabilities Intermediate Care Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.