| NPI | 1154351336 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-04 |
| Last Updated | 2025-04-14 |
| Authorized Official | Kyle King Service Area President Phone: 5032614405 |
| Mailing Address | 1620 E 12th St, Po Box 1520 The Dalles, OR 97058 United States Phone: (541) 296-9151 | Fax: (541) 296-9156 📍 View Map |
| Primary Practice Address | 1620 E 12th St The Dalles, OR 97058 United States Phone: (541) 296-9151 | Fax: (541) 296-9156 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 1003624 | — |
| MEDICAID | OR | 218112 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 103T00000X – Psychologist | — | — |
| No | 1041C0700X – Social Worker, Clinical | — | — |
| No | 207Q00000X – Family Medicine | — | — |
| No | 208000000X – Pediatrics | — | — |
| Yes | 261QR1300X – Clinic/Center, Rural Health | — | — |
| No | 261QR1300X – Clinic/Center, Rural Health | OR | — |
| No | 363A00000X – Physician Assistant | — | — |
| No | 363LF0000X – Nurse Practitioner, Family | — | — |
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About NPI 1154351336
Mid-Columbia Medical Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1154351336. The primary specialty listed is Clinic/Center, Rural Health. The organization is located in The Dalles, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154351336?
NPI 1154351336 belongs to Mid-Columbia Medical Center, a Clinic/Center, Rural Health in The Dalles, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154351336 active?
The current status of NPI 1154351336 in the NPPES registry is Active. The record was last updated on 2025-04-14.
What specialty is NPI 1154351336?
NPI 1154351336 is classified under the taxonomy Clinic/Center, Rural Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154351336?
You can verify NPI 1154351336 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154351336?
The primary practice address on file for NPI 1154351336 is 1620 E 12th St, The Dalles, OR 97058. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154351336 issued?
NPI 1154351336 was first issued (enumerated) on 2006-07-04. The NPPES record was last updated on 2025-04-14.
Practice Location Map
Mid-Columbia Medical Center is located at 1620 E 12th St, The Dalles, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mid-Columbia Medical Center. All records sourced from the CMS NPPES registry.