# MID-COLUMBIA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Health Columbia Gorge, MCMC Specialty Clinics Waters Edge, MCMC Occupational Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992094817
- **Authorized official:** DENNIS KNOX (CORPORATE OFFICER CEO)
- **Authorized official phone:** (541) 296-7273

## Contact information

- **Practice address:** 1825 E 19TH ST, THE DALLES, OR 97058-3365
- **Practice address phone:** (541) 506-6920
- **Practice address fax:** (541) 296-5451
- **Mailing address:** PO BOX 1520, THE DALLES, OR 97058-8003
- **Mailing address phone:** (541) 506-6920
- **Mailing address fax:** (541) 296-5451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 06/19/2023