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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mosaic (99 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Clarion, IA · Intellectual Disabilities Intermediate Care Facility in Iowa

Sources for this page

Verify at the official NPI Registry.