Active NPI
Mid-Columbia Health Service, Inc.
- General Practice Physician
- The Dalles, OR
National Provider Identifier
1295928836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MID-COLUMBIA HEALTH SERVICE, INC.
- Practice address
- 1700 E 19TH St
The Dalles, OR 97058-3317 - Phone
- (541) 296-7760
- Fax
- (541) 296-7619
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
NPPES NPI Registry
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
- Phone
- (541) 296-7760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1700 E 19TH St
The Dalles, OR 97058-3317
Mailing address
1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-7760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208D00000X | Other | TAXONOMY |
National Provider Directory
National Provider Directory- Tax ID family
- Mid Columbia Health Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1881763852
-
- Durable Medical Equipment & Medical Supplies
- The Dalles, OR
- NPI 1255371035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1295928836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E 19TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583317",
"telephone_number": "541-296-7760",
"fax_number": "541-296-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E 19TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583317",
"telephone_number": "541-296-7760",
"fax_number": "541-296-7619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-COLUMBIA HEALTH SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "ARBON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "541-296-7760",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "208D00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
- Mid-Columbia Center for Living
- Mid-Columbia Center for Living
- Mid-Columbia Child & Family Center, Inc.
- Mid-Columbia Council of Governments
- Mid-Columbia Fire and Rescue
- Mid-Columbia Health Services Inc
- Mid-Columbia Medical Center
- Mid-Columbia Medical Center
- Mid-Columbia Medical Center
- Mid-Columbia Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.