MEDICARE: MOSAIC INFUSION SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207RG0100X	Gastroenterology Physician
3	207RI0200X	Infectious Disease Physician
4	207RR0500X	Rheumatology Physician
5	261QI0500X	Infusion Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942962063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC INFUSION SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6912 S QUENTIN ST STE 50
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-4531
Country	:	US
Telephone Number	:	720-282-5377
Fax Number	:	833-871-9247

Provider Business Practice Location Address
First Line	:	2108 S 54TH ST STE 1
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8125
Country	:	US
Telephone Number	:	479-396-5200
Fax Number	:	833-963-1060

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JENNIFER YOWLER
Credential	:
Telephone Number	:	502-627-7100

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	01/02/2026

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