Organization
MID-COLUMBIA MEDICAL CENTER
Active
Other names
Adventist Health Home Care, Adventist Health Columbia Gorge
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KING (SERVICE AREA PRESIDENT)
(503) 261-4405
Entity
Organization
Contact information
Practice address
1935 E 19TH ST STE 110, THE DALLES, OR 97058-3392
Mailing address
PO BOX 1580, THE DALLES, OR 97058-8004
(541) 296-7280
(541) 296-7631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13 140500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132175
—
OR
05
—
9007204
—
WA
Enumeration date
03/08/2006
Last updated
04/14/2025
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