Organization
MID-COLUMBIA HEALTH SERVICES INC
Active
Other names
Mid-Columbia Health Care Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD O ARBON (CFO VICE PRESIDENT)
(541) 296-6131
Entity
Organization
Contact information
Practice address
200 UNION ST, THE DALLES, OR 97058-1719
(541) 296-6131
(541) 296-2755
Mailing address
PO BOX 922, THE DALLES, OR 97058-0922
(541) 296-6131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039016
DLI
WA
01
—
048196000
BCBS
OR
05
—
074534
—
OR
Enumeration date
06/08/2006
Last updated
06/16/2008
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