Mid-Columbia Child & Family Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MID-COLUMBIA CHILD & FAMILY CENTER, INC.

Practice address

3221 W 10TH St
The Dalles, OR 97058-4373

Phone

(541) 298-5104

Fax

(541) 298-4108

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Frasier, M.A., LPC, LMFT

Title

Executive Director

Phone

(541) 298-5104

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023161288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 W 10TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970584373",
            "telephone_number": "541-298-5104",
            "fax_number": "541-298-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 W 10TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970584373",
            "telephone_number": "541-298-5104",
            "fax_number": "541-298-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COLUMBIA CHILD & FAMILY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-298-5104",
        "authorized_official_credential": "M.A., LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Columbia Center for Living (McCfl the Dalles Och)
• Mid-Columbia Center for Living (McCfl the Dalles Mast)
• Mid-Columbia Center for Living (McCfl the Dalles Main Office)
• Mid-Columbia Center for Living (McCfl the Dalles Lincoln)
• Mid-Columbia Center for Living
• Mid-Columbia Council of Governments
• Mid-Columbia Fire and Rescue
• Mid-Columbia Health Service, Inc.
• Mid-Columbia Health Services Inc (Mid-Columbia Health Care Equipment)
• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)

• Community/Behavioral Health Agency in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.