Adventist Health Columbia Gorge

LBN: Mid-Columbia Medical Center
Adventist Health Columbia Gorge is an health care organization with primary practice located at 1620 E 12Th St , The Dalles OR 97058. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Mid-Columbia Medical Center can be contacted via phone (541) 296-9151, or through Knox, Dennis via phone (541) 296-7273.

Contact Information

Primary practice address
1620 E 12Th St The Dalles OR 97058
Fax: (541) 296-9156
Website:
Authorized official contact:
Name: Knox, Dennis

Profile Details

NPI number 1154351336
LBN Legal business name Mid-Columbia Medical Center
DBA Doing business as Adventist Health Columbia Gorge
Authorized official Knox, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154351336 NPPES
Washington MEDICAID 1003624
Washington MEDICAID 218112

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