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Organization

MID-COLUMBIA MEDICAL CENTER

Active
Other names
Adventist Health Columbia Gorge, MCMC Specialty Clinics Waters Edge, MCMC Occupational Health
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS KNOX (CORPORATE OFFICER CEO)
(541) 296-7273
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QX0100X
Occupational Medicine Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2013509
WA
05
500636659
OR
Enumeration date
03/31/2011
Last updated
06/19/2023
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