NPIMap

Organization Active NPI

Mosaic Health Inc

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
National Provider Identifier
1760213631
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOSAIC HEALTH INC
Practice address
4100 Baldwin Rd
Rushville, NY 14544-9738
Phone
(585) 287-8858
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Lisa Olscamp
Title
Cfo
Phone
(585) 287-8858

Specialties & licenses 1

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

Addresses

Primary practice location

4100 Baldwin Rd
Rushville, NY 14544-9738

Mailing address

1 S Washington St Ste 300
Rochester, NY 14614-1134
Phone (585) 287-8858

Other identifiers 1

IdentifierTypeStateIssuer
00618199MedicaidNY

Other names 1

  • Rochester Primary Care Network, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Health Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1760213631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WASHINGTON ST STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141134",
            "telephone_number": "585-287-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BALDWIN RD",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449738",
            "telephone_number": "585-287-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "OLSCAMP",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-287-8858"
    },
    "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": "00618199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Primary Care Network, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rochester Primary Care Network, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rushville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.