Mosaic is a Specialist in Grants, New Mexico. Mosaic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mosaic is 1669693594. The last update date is 2020-08-22.
Mosaic's current location address is 920 Lobo Canyon Rd, Grants, New Mexico. You can contact this provider via phone number 5052879333 and fax number 5052879336. The mailing address for Mosaic is 920 Lobo Canyon Rd, Grants, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic |
|---|---|
| Address | 920 Lobo Canyon Rd, Grants, New Mexico |
| Phone Number | 5052879333 |
| Fax Number | 5052879336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP ACCOUNT |
|---|---|
| Authorized Official Name | Wilson Dean |
| Telephone Number | 4028963884 |
NPI Number Detail
| NPI Number | 1669693594 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 920 Lobo Canyon Rd |
|---|---|
| City | Grants |
| State | New Mexico (NM) |
| Post Code | 870202173 |
| Phone Number | 5052879333 |
| Fax Number | 5052879336 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95338233 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mosaic by the Centers for Medicare & Medicaid Services?
The Mosaic has been assigned the NPI (National Provider Identifier) 1669693594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mosaic is located?
The Mosaic is situated at the following address: 920 Lobo Canyon Rd, Grants, NM, 870202173.
What is Mosaic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mosaic is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669693594 to Mosaic?
The Centers for Medicare & Medicaid Services assigned the 1669693594 to Mosaic on 2007-05-01.
When was the information related to Mosaic most recently updated or refreshed?
The details pertaining to the Mosaic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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