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1083411060 NPI number — MID-COLUMBIA MEDICAL CENTER

NPI Number: 1083411060
Health Care Provider/Practitioner: MID-COLUMBIA MEDICAL CENTER

Information about “1083411060” NPI (MID-COLUMBIA MEDICAL CENTER) exists in 1083411060 in HTML format HTML  |  1083411060 in plain Text format TXT  |  1083411060 in PDF (Portable Document Format) PDF  |  1083411060 in an XML format XML  formats.

NPI Number : 1083411060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083411060",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MID-COLUMBIA MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1580",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THE DALLES",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97058-8004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-296-1111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 E 19TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THE DALLES",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97058-3317",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-296-1111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/27/2025",
    "LastUpdateDate": "02/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KING",
    "AuthorizedOfficialFirstName": "KYLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SERVICE AREA PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "503-261-4405",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282NC0060X",
        "TaxonomyName": "Critical Access Hospital",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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