# MID-COLUMBIA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Health Columbia Gorge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306842752
- **Authorized official:** KYLE KING (SERVICE AREA PRESIDENT)
- **Authorized official phone:** (503) 261-4405

## Contact information

- **Practice address:** 1700 E 19TH ST, THE DALLES, OR 97058-3317
- **Practice address phone:** (541) 296-7760
- **Practice address fax:** (541) 296-7619
- **Mailing address:** 1700 E 19TH ST, THE DALLES, OR 97058-3317
- **Mailing address phone:** (541) 296-1111
- **Mailing address fax:** (541) 296-7619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |
| 282NR1301X | Rural Acute Care Hospital | 14-0500 | OR | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 07/31/2026