MID-COLUMBIA MEDICAL CENTER NPI 1366809048

NPI Information

  • NPI: 1366809048
  • Provider Name: MID-COLUMBIA MEDICAL CENTER
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 1810 E. 19TH ST. #225
    THE DALLES, OR
    ZIP 97058
  • Phone: (541) 296-6101

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NPI Details

MID-COLUMBIA MEDICAL CENTER is a multi-specialty clinic center in The Dalles, OR. MID-COLUMBIA MEDICAL CENTER NPI is 1366809048. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1810 E. 19TH ST. #225
THE DALLES, OR
ZIP 97058
Phone: (541) 296-6101
Fax: (541) 296-0025

The provider's authorized official is Kyle King .
The authorized official title is Service Area President and has the following contact phone number (503) 261-4405.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 4/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryNo
2208600000XSurgeryNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500704145MEDICAIDOREGON
22057713MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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