MOSAIC HEALTH INC – NPI #1134693708
Clinic/Center

MOSAIC HEALTH INC is an AHC clinic located in UTICA, NY. NPPES has assigned the NPI number 1134693708 to MOSAIC HEALTH INC on January 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Nov 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOSAIC HEALTH INC below.

NPI Profile for
MOSAIC HEALTH INC

NPI Number
1134693708
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOSAIC HEALTH INC
Other name(s)
All associated names:
Other Name
Mosaic Health Utica Dental
Former Legal Business Name
Rochester Primary Care Network, Inc.
Primary location
3 PARKSIDE CT BLDG 1
UTICA, NY 13501-5643
Phone: (315) 927-0000 Fax: (844) 683-9216
Mailing address
1 S WASHINGTON ST STE 300
ROCHESTER, NY 14614-1134
Phone: (585) 325-2280 Fax: (844) 683-9216
Organization Subpart
Yes - MOSAIC HEALTH INC is subpart of another organization.
Authorized Official
LISA OLSCAMP
CFO
Phone: (585) 287-8858
Updated
Certification Date
Nov 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOSAIC HEALTH INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY00618199
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.