MID-COLUMBIA MEDICAL CENTER (NPI# 1548525801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548525801 |
| Entity Type | Organization |
| Organization Name | MID-COLUMBIA MEDICAL CENTER |
| Other Organization Name | COLUMBIA CREST SPECIALTY CLINIC |
| Practice Address |
1935 E 19th St Ste 110 The Dalles OR 97058-3392 |
| Mailing Address |
Po Box 1520 The Dalles OR 97058 |
| Practice Telephone | 5415066930 |
| Practice Fax Number | 5415066931 |
| Mailing Telephone | 5415066930 |
| Mailing Fax Number | 5415066931 |
| Enumeration Date | 2012-07-11 |
| 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 |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500648931 | 05 | |
| WA | 2022409 | 05 |
| Other Name | Type Code |
|---|---|
| Columbia Crest Specialty Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2690 May St, Hood River, OR 970319786 | 5415066930 |
| 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 |
| 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 |
| 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 |
1935 E 19TH ST STE 110 |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-3392 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| 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 |
| 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 |
| 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.