Organization
MID-COLUMBIA MEDICAL CENTER
Active
Other names
Adventist Health Columbia Gorge
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KNOX (CORPORATE OFFICER CEO)
(541) 296-7273
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) 296-7760
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
14 0500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026484
—
OR
05
—
2005186
—
WA
Enumeration date
03/09/2006
Last updated
06/19/2023
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