MID-COLUMBIA MEDICAL CENTER (NPI# 1154869659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154869659 |
| Entity Type | Organization |
| Organization Name | MID-COLUMBIA MEDICAL CENTER |
| Other Organization Name | MCMC PODIATRY |
| Practice Address |
33 Nichols Pkwy Hood River OR 97031-3121 |
| Mailing Address |
Po Box 1520 The Dalles OR 97058-8003 |
| Practice Telephone | 5415066440 |
| Mailing Telephone | (541) 296-7504 |
| Mailing Fax Number | 5412966431 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 02/14/2017 |
| NPI Reactivation Date | 2017-07-07 |
| Authorized Official Name | CHELSEA TREHARNE (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Telephone | 5415067620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 14-0500 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 218105 | 05 |
| Other Name | Type Code |
|---|---|
| MCMC Podiatry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 E 19th St, The Dalles, OR 970583365 | 5415066440 | 5415066441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942718457 | Mid-columbia Medical Center | Clinic/Center | 1815 E 19th St Ste 1, The Dalles, OR 97058-3385 | 2018-01-18 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1871833772 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1810 E 19th St Ste 209, The Dalles, OR 97058-3388 | 2013-03-01 |
| 1548525801 | Mid-columbia Medical Center | Dermatology | 1935 E 19th St Ste 110, The Dalles, OR 97058-3392 | 2012-07-11 |
| 1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1205804101 | Mid-columbia Medical Center | Home Health | 1730 E 12th St, The Dalles, OR 97058-3137 | 2006-03-08 |
| 1306842752 | Mid-columbia Medical Center | General Acute Care Hospital | 1700 E 19th St, The Dalles, OR 97058-3317 | 2005-06-21 |
| 1508427428 | Mid-columbia Medical Center | Clinic/Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2019-06-21 |
| 1568979680 | Mid-columbia Medical Center | Clinic/Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2018-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MID-COLUMBIA MEDICAL CENTER | 1700 E 19th St, The Dalles, OR 97058 |
| Oregon Corporations, Companies and Business Names | MID-COLUMBIA MEDICAL CENTER AUXILIARY | 1700 E 19th St, The Dalles, OR 97058 |
| Street Address |
33 NICHOLS PKWY |
| City | HOOD RIVER |
| State | OR |
| Zip Code | 97031-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427428 | Mid-columbia Medical Center | Clinic/Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2019-06-21 |
| 1568979680 | Mid-columbia Medical Center | Clinic/Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1760947444 | Madison Bubb | Behavior Technician | 1270 Tucker Road, Hood River, OR 97031 | 2019-02-06 |
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1720511926 | Ohsana Valle | Specialist/Technologist | 3242 Mud Alley Rd, Hood River, OR 97031 | 2017-04-05 |
| 1811353287 | Carolina Cecelia Castro | Counselor | 965 Tucker Road, Hood River, OR 97031 | 2016-01-14 |
| 1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
| 1518364272 | Kimberly Althea Perez | Counselor | 1425 Rockfor Rd., Hood River, OR 97031 | 2014-11-24 |
| 1508287871 | Mid-columbia Center for Living | Community/Behavioral Health | 3686 Davis Drive, Hood River, OR 97031 | 2014-01-03 |
| Find all providers in zip 97031 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1578683405 | John Scott Belknap | Podiatrist | 1220 Taylor Ave, Hood River, OR 97031 | 2007-04-02 |
| 1619919891 | Dana Alumbaugh | Podiatrist | 1790 May St, Hood River, OR 97031-1369 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| 1114199361 | John T. Callahan, Dpm | Podiatrist | 2235 Mission St Se Ste 150, Salem, OR 97302-1294 | 2008-03-27 |
| 1538339395 | Joseph Michael Mozena | Podiatrist | 2227 Ne Hancock St, Portland, OR 97212-4873 | 2008-03-08 |
| Find all providers with the same taxonomy | ||||
| City | HOOD RIVER |
| Zip Code | 97031 |
Please comment or provide details below to improve the information on MID-COLUMBIA MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.