Mosaic Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MOSAIC COMMUNITY HEALTH

Practice address

500 NE a St Ste 101
Madras, OR 97741-1842

Phone

(541) 383-3005

Fax

(541) 383-1883

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Megan Haase, FNP

Title

Ceo

Phone

(541) 383-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mosaic Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 1

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

• Mosaic Community Health

  • Federally Qualified Health Center (FQHC)
  • Prineville, OR
  • NPI 1083633184

  O20060417000076

  Same enrollment

Locations

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.

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1124366570",
    "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": "500 NE A ST STE 101",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411842",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-383-3005",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182960",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice K Monroe, FNP
• Kim Ray Montee, MD
• Nancy Moon, QMHP
• Rayna Morales Bracamontes
• Mosaic Community Health
• Mosaic Community Health
• Mosaic Medical
• Margaret Granby Moschetti, LMT
• Mountain View Hospital
• Mountain View Hospital District

• Federally Qualified Health Center (FQHC) in Madras, OR
• Providers in Madras, OR by specialty
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.