MID-COLUMBIA MEDICAL CENTER


Address: 1815 E 19th St Ste 1, The Dalles, OR 97058-3385
Phone: 5412985563

MID-COLUMBIA MEDICAL CENTER (NPI# 1942718457) 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) 1942718457
Entity Type Organization
Organization Name MID-COLUMBIA MEDICAL CENTER
Other Organization Name COLUMBIA GORGE ENT AND ALLERGY
Practice Address 1815 E 19th St Ste 1
The Dalles
OR 97058-3385
Mailing Address Po Box 1520
The Dalles
OR 97058-8003
Practice Telephone 5412985563
Practice Fax Number 5412987746
Enumeration Date 2018-01-18
Last Update Date 2018-02-14
Authorized Official Name CHELSEA TREHARNE (CORPORATE COMPLIANCE OFFICER)
Authorized Official Telephone 5415067620
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Columbia Gorge ENT and Allergy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

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 1815 E 19TH ST STE 1
City THE DALLES
State OR
Zip Code 97058-3385

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 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972113306 Harney District Hospital Clinic/Center 271 N Egan Ave, Burns, OR 97720-1733 2020-07-31
1922583616 Wvp Medical Group, LLC Clinic/Center 2995 Ryan Dr Se Ste 200, Salem, OR 97301-5157 2018-09-27
1588153076 Kaiser Foundation Health Plan of The Northwest Clinic/Center 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 2018-05-09
1255844908 Affordable Health Care & Chiropractic Inc Clinic/Center 2130 Se 96th Ave, Portland, OR 97216-2603 2017-11-15
1710402532 Edge Medical Services Inc Clinic/Center 19800 Village Office Ct Ste 15, Bend, OR 97702-1872 2017-08-14
1699167239 Community Wellness Center Clinic/Center 1995 8th Ave, West Linn, OR 97068-4604 2015-02-19
1730518754 Rebecca Berzow Nd Clinic/Center 15455 Nw Greenbrier Pkwy Ste 100, Beaverton, OR 97006-7357 2013-11-12
1659605707 University Professional Services Clinic/Center 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 2009-09-22
1770769424 Adapt Training Clinic/Center 9923 Sw Arctic Dr, Beaverton, OR 97005-4194 2008-01-11
1871632000 Cascadia Behavioral Healthcare Inc Clinic/Center 1137 25th St Ne, Salem, OR 97301-1604 2007-02-05
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Competitor

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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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