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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
14-0500 | OR | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 000070 | 05 | |
WA | 3347606 | 05 |
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 |
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 |
Street Address |
1700 E 19TH ST |
City | THE DALLES |
State | OR |
Zip Code | 97058-3317 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 97058 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | THE DALLES |
Zip Code | 97058 |
Please comment or provide details below to improve the information on MID-COLUMBIA MEDICAL CENTER.
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.