Organization
MID-COLUMBIA MEDICAL CENTER
Active
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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