MID-COLUMBIA MEDICAL CENTER NPI 1528383940

NPI Information

MID-COLUMBIA MEDICAL CENTER is a rural health clinic center in The Dalles, OR. MID-COLUMBIA MEDICAL CENTER NPI is 1528383940. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Columbia Gorge.

The provider's business location address is:

1935 E 19TH ST
THE DALLES, OR
ZIP 97058-392
Phone: (541) 506-6520

The provider's authorized official is Dennis Knox .
The authorized official title is Corporate Officer Ceo and has the following contact phone number (541) 296-7273.

The CLIA number assigned to this NPI record is 38D2025938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 6/19/2023.

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:

Other Identifiers

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