Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Mosaic Medical

Federally Qualified Health Center (FQHC) in Prineville, OR · enumerated 2019 · authorized official Bobbi Surplus, Revenue Cycle Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629627203

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Registry record

Entity type Organization (Type 2)

Legal business name Mosaic Medical

Parent organization Mosaic Medical

Practice address 375 Nw Beaver St Ste 101, Prineville, OR, 97754

Phone (541) 408-9486

Fax (541) 647-2793

Enumeration date Sep 6, 2019

Last updated in NPPES Sep 6, 2019

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Bobbi Surplus

Title Revenue Cycle Manager

Phone (541) 408-9486

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-09-06. Verify at npiregistry.cms.hhs.gov.

Where is Mosaic Medical located?

The practice location on file with NPPES is in Prineville, OR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-06.