MID-COLUMBIA MEDICAL CENTER NPI 1871833772

NPI Information

NPI: 1871833772
Provider Name: MID-COLUMBIA MEDICAL CENTER
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
:
Address: 1810 E 19TH ST STE 209
THE DALLES, OR
ZIP 97058
Phone: (541) 296-5657

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NPI Details

MID-COLUMBIA MEDICAL CENTER is a rural health clinic center in The Dalles, OR. MID-COLUMBIA MEDICAL CENTER NPI is 1871833772. 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 STE 209
THE DALLES, OR
ZIP 97058-388
Phone: (541) 296-5657
Fax: (541) 298-5199

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 3/1/2013 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
1	207V00000X	Obstetrics & Gynecology			OREGON	No
2	261QR1300X	Clinic/Center	Rural Health	383895	OREGON	Yes

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
1	500654923	MEDICAID	OREGON
2	2028140	MEDICAID	WASHINGTON

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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