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NPI Code Detail

MEDICARE: MID-COLUMBIA CENTER FOR LIVING

MEDICARE: MID-COLUMBIA CENTER FOR LIVING
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
1261QC1500XCommunity Health Clinic/Center
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

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 : 1699745794
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-COLUMBIA CENTER FOR LIVING
Provider Business Mailing Address
First Line : 1060 WEBBER ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3749
Country : US
Telephone Number : 541-296-5452
Fax Number : 541-296-9418
Provider Business Practice Location Address
First Line : 1060 WEBBER ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3749
Country : US
Telephone Number : 541-296-5452
Fax Number : 541-296-9418
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : ALEXANDER BARTON
Credential :
Telephone Number : 541-296-5452
Provider Enumeration Date : 01/23/2006
Last Update Date : 12/19/2022

Similar Medicare Providers

1912856303 — JULIA GOODNIGHT
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax: 541-296-1537
1902441793 — EUGENIE PORTER
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax: 541-296-5263
1962158717 — JODIE QUEVEDO
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax: 541-296-9418
1023360450 — GABRIELLE S. SWISHER LCSW, QMHA, B.A.
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax: 541-296-5263
1932500832 — HEATHER CLEMENCE QMHP
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax: 541-296-1537
1073671368 — DANIEL E FERBER MD
Practice Location Address:
1060 WEBBER ST
THE DALLES, OR
97058-3749
Practice Phone: 541-296-5452
Practice Fax:

Directions to “MID-COLUMBIA CENTER FOR LIVING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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