NPIMap

Organization Active NPI

Mosaic Community Health

  • Federally Qualified Health Center (FQHC)
  • Bend, OR
National Provider Identifier
1215368329
Registry record updated Jul 16, 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
Harriman Health
Mosaic Medical
Practice address
1128 NW Harriman St
Bend, OR 97701-1947
Phone
(541) 383-3005
Fax
(541) 383-1883
NPI assigned
Nov 29, 2013
Organization subpart
Yes
Parent organization
MOSAIC COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Megan Haase
Title
Ceo
Phone
(541) 383-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1128 NW Harriman St
Bend, OR 97701-1947

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
182960MedicaidOR

Other names 2

  • Harriman Health Doing business as
  • Mosaic Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714002144 OR Part A Provider - Federally Qualified Health Center (FQHC) 5395653497 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Medical28 organizations share this tax ID, including this one
Part of
Mosaic Medical

Other organizations with this tax ID 27

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

View all 27

Locations

600 SW Columbia St
Ste 6210
Bend, OR 97702

1128 NW Harriman St
Bend, OR 97703
Phone (541) 322-7457

Ownership & related parties

All disclosed owners & managing parties 8

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 OfficerCfo Feb 10, 2014
James Gemelas Individual Corporate DirectorBoard Member Jun 1, 2019
John Willard McLaughlin Individual Corporate DirectorBoard Member Jun 1, 2016
Natalie Jean Stevens Individual Corporate DirectorBoard Member Jun 1, 2016
Jeffery Glen Baker Individual Corporate DirectorBoard Member Jun 1, 2016
Chandra K Atwood Individual Corporate DirectorBoard Member Jun 1, 2018
Roderick J Ray Individual Corporate DirectorBoard Member May 1, 2018
Megan M Haase Individual Corporate Officer May 1, 2014
W-2 Managing Employee May 1, 2014
Operational/Managerial Control May 1, 2014

NPI Registry JSON

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1215368329",
    "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": "541-323-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NW HARRIMAN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011947",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSAIC COMMUNITY HEALTH",
        "enumeration_date": "2013-11-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "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"
    },
    "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": "Harriman Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosaic Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.