Mosaic
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Denison, IA
NPI 1730231663 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1730231663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 240787 (IA)
- Legal business name
- MOSAIC
- Practice address
- 1200 S 15TH St
Denison, IA 51442-2800 - Phone
- (712) 644-2378
- Fax
- (712) 664-3501
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Jeri Sole
- Title
- Director of Billing
- Phone
- (402) 896-5827
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Mosaic
Locations
1200 S 15th St
Denison, IA 51442
Phone (712) 644-2378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 240787 | IA | Yes |
Addresses
Primary practice location
1200 S 15TH St
Denison, IA 51442-2800
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0882001 | Medicaid | IA |
Other providers in Denison, IA
- John Miller
- Kelsey Miller
- MLG Physical Therapy PLLC
- Mosaic
- Mosaic
- Mosaic
- Lori Jo Mundt
- Northland Hearing Centers, Inc.
- Steven G Oatman
- James Oberhansley
All providers in Denison, 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 Nov 6, 2020. 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.