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NPI Code Detail

MEDICARE: MID-COLUMBIA MEDICAL CENTER

MEDICARE: MID-COLUMBIA MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NR1301XRural Acute Care Hospital14-0500OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306842752
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-COLUMBIA MEDICAL CENTER
Provider Business Mailing Address
First Line : 1700 E 19TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3317
Country : US
Telephone Number : 541-296-1111
Fax Number : 541-296-7619
Provider Business Practice Location Address
First Line : 1700 E 19TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3317
Country : US
Telephone Number : 541-296-7760
Fax Number : 541-296-7619
Authorized Official
Title or Position : SERVICE AREA PRESIDENT
Name : KYLE KING
Credential :
Telephone Number : 503-261-4405
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/22/2025

Similar Medicare Providers

1396735346 — DR. LAWRENCE E LONG III MD
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
Practice Phone: 541-296-1111
Practice Fax: 541-296-7601
1316929953 — SONIA J SCHUEMANN MD
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
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1477536514 — DR. FREDERICK C SCHUBERT M.D.
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
Practice Phone: 541-296-7760
Practice Fax: 541-296-7619
1750364451 — GRETCHEN E BLAIR MD
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
Practice Phone: 541-296-1111
Practice Fax: 541-269-7601
1649250150 — DAVID CHRISTAIN FORD MD
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
Practice Phone: 541-296-7235
Practice Fax:
1770559163 — DR. DAVID J CLEVELAND MD
Practice Location Address:
1700 E 19TH ST
THE DALLES, OR
97058-3317
Practice Phone: 541-296-1111
Practice Fax: 541-296-7420

Directions to “MID-COLUMBIA MEDICAL CENTER ” Practice Location

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