Organization Active NPI

Mid-Columbia Health Services Inc

  • Durable Medical Equipment & Medical Supplies
  • The Dalles, OR
National Provider Identifier
1255371035
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-COLUMBIA HEALTH SERVICES INC
Practice address
200 Union St
The Dalles, OR 97058-1719
Phone
(541) 296-6131
Fax
(541) 296-2755
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Donald O Arbon
Title
Cfo Vice President
Phone
(541) 296-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 Union St
The Dalles, OR 97058-1719

Mailing address

PO Box 922
The Dalles, OR 97058-0922
Phone (541) 296-6131

Other identifiers 3

IdentifierTypeStateIssuer
074534MedicaidOR
048196000OtherORBCBS
0039016OtherWADLI

Other names 1

  • Mid-Columbia Health Care Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid Columbia Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Union St
The Dalles, OR 97058
Phone (541) 296-6131

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1255371035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970580922",
            "telephone_number": "541-296-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581719",
            "telephone_number": "541-296-6131",
            "fax_number": "541-296-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COLUMBIA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ARBON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CFO VICE PRESIDENT",
        "authorized_official_telephone_number": "541-296-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074534",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "048196000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "0039016",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Columbia Health Care Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.