Organization
MID-COLUMBIA MEDICAL CENTER
Active
Other names
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
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
14-0500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070
—
OR
05
—
3347606
—
WA
Enumeration date
06/21/2005
Last updated
07/22/2025
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