MID-COLUMBIA MEDICAL CENTER


Address: 1700 E 19th St, The Dalles, OR 97058-3317
Phone: 5412967760

MID-COLUMBIA MEDICAL CENTER (NPI# 1306842752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306842752
Entity Type Organization
Organization Name MID-COLUMBIA MEDICAL CENTER
Practice Address 1700 E 19th St
The Dalles
OR 97058-3317
Practice Telephone 5412967760
Practice Fax Number 5412967619
Mailing Telephone 5412967504
Mailing Fax Number 5412967619
Enumeration Date 2005-06-21
Last Update Date 2018-04-26
Authorized Official Name TASHA L SANDOVAL (MEDICAL STAFF CREDENTIALING LEAD)
Authorized Official Telephone 5415065710
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NR1301X General Acute Care Hospital
Specialization: Rural
14-0500 OR Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
OR 000070 05
WA 3347606 05

Other Provider IDs and Locations

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
1154869659 Mid-columbia Medical Center Podiatrist 33 Nichols Pkwy, Hood River, OR 97031-3121 2017-02-03
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
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

Other Data Sources

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

Office Location

Street Address 1700 E 19TH ST
City THE DALLES
State OR
Zip Code 97058-3317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851999866 Michelle Burnett Specialist/Technologist, Other 1700 E 19th St, The Dalles, OR 97058-3317 2020-10-12
1821569286 Nader Saad Pharmacist 1700 E 19th St, The Dalles, OR 97058-3398 2018-12-11
1821581430 Timbus Anesthesiology, LLC Anesthesiology 1700 E 19th St, The Dalles, OR 97058-3317 2018-06-08
1205338084 Maricela Elena Bandel-ramirez Hospitalist 1700 E 19th St, The Dalles, OR 97058 2018-03-07
1922551381 Tim P Bondarenko Pharmacist 1700 E 19th St, The Dalles, OR 97058-3317 2016-08-02
1396121265 Tanisha Peck Pharmacist 1700 E 19th St, The Dalles, OR 97058-3317 2015-08-03
1487035945 Jaskeerat Singh Internal Medicine 1700 E 19th St, The Dalles, OR 97058 2015-06-10
1053708297 Columbia River Radiology, PC Radiology 1700 E 19th St, The Dalles, OR 97058-3317 2015-04-24
1114320199 Rachel Hopkins Pharmacist 1700 E 19th St, The Dalles, OR 97058-3317 2014-10-03
1639585813 Spencer P Nagle Internal Medicine 1700 E 19th St, The Dalles, OR 97058 2014-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538646864 Ashlee Kai Mcnamara Behavior Technician 2525 W 8th St., #34, The Dalles, OR 97058 2018-07-19
1548784689 Mireya Moreno Ibarra Behavior Technician 401 East 3rd Street, Suite 101, The Dalles, OR 97058 2017-07-31
1407304991 Joshua Seidel Pharmacist 515 Mt Hood St, The Dalles, OR 97058 2016-09-14
1366809048 Mid-columbia Medical Center Surgery 1810 E. 19th St. #225, The Dalles, OR 97058 2016-01-26
1558731141 Louise Goodnight Case Manager/Care Coordinator 419 East 7 Th Street, The Dalles, OR 97058 2015-09-25
1578944666 Jessica Donnell Dental Hygienist 2529 E 12th St, The Dalles, OR 97058 2015-06-15
1487034328 Savanna Schaan Specialist 609 W 14th St, The Dalles, OR 97058 2015-06-05
1801299102 Mary E Zenorini Social Worker 1620 E. 12th St, The Dalles, OR 97058 2014-09-30
1669889143 Diane Joan Irwin Social Worker 419 E 7th St #207, The Dalles, OR 97058 2014-07-17
1124452008 Lacey A Nichols Counselor 312 E. Third St., The Dalles, OR 97058 2013-08-27
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Taxonomy Information

Taxonomy Code 282NR1301X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Rural

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669766457 Peacehealth General Acute Care Hospital 787 Woodland Acres Ln, Eugene, OR 97402-9378 2011-06-09
1811130149 Sky Lakes Medical Center General Acute Care Hospital 5471 Glenridge Way, Klamath Falls, OR 97603-3954 2009-04-16
1801241120 Amanda Emmert General Acute Care Hospital 200 Mullins Dr, Lebanon, OR 97355-3983 2016-04-25
1154729119 Providence Newberg Pharmacy General Acute Care Hospital 1001 Providence Dr, Newberg, OR 97132-7485 2014-12-08
1447519954 Silverton Health General Acute Care Hospital 1475 Mount Hood Ave, Woodburn, OR 97071-9066 2012-05-04
1336457829 Lee Ghorbanian General Acute Care Hospital 482 Lancaster Dr Ne, Salem, OR 97301-4784 2010-09-17
1508174285 Lee Ghorbanian I Ltd General Acute Care Hospital 13908 Se Stark St, Space B, Portland, OR 97233-2161 2010-09-16
1265747331 John J. Lee Dds PC General Acute Care Hospital 12755 Sw 2nd St, Suite A, Beaverton, OR 97005-2767 2010-08-13
1053583377 Jennifer M. Soyke, M.d., P.C. General Acute Care Hospital 2700 Stewart Parkway, Mercy Medical Center Emergency Department, Roseburg, OR 94740 2008-03-26
1275728206 North Bend Medical Center General Acute Care Hospital 1900 Woodland Dr, Coos Bay, OR 97420-2045 2007-09-12
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Competitor

Search similar providers

City THE DALLES
Zip Code 97058

Improve Information

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Dataset Information

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.

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