NPIMap

Organization Active NPI

Mid-Columbia Council of Governments

  • Transportation Broker
  • The Dalles, OR
National Provider Identifier
1679943096
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
MID-COLUMBIA COUNCIL OF GOVERNMENTS
Practice address
1113 Kelly Ave
The Dalles, OR 97058-2767
Phone
(541) 288-9302
Fax
(855) 835-5274
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. Dan Schwanz
Title
Transportation Director
Phone
(541) 288-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1113 Kelly Ave
The Dalles, OR 97058-2767

Mailing address

1113 Kelly Ave
The Dalles, OR 97058-2767
Phone (541) 288-9302

Other identifiers 1

IdentifierTypeStateIssuer
230767MedicaidOR

National Provider Directory

National Provider Directory

Locations

1113 Kelly Ave
The Dalles, OR 97058
Phone (541) 288-9302

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1679943096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 KELLY AVE",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582767",
            "telephone_number": "541-288-9302",
            "fax_number": "855-835-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 KELLY AVE",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582767",
            "telephone_number": "541-288-9302",
            "fax_number": "855-835-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COLUMBIA COUNCIL OF GOVERNMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHWANZ",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "TRANSPORTATION DIRECTOR",
        "authorized_official_telephone_number": "541-288-9302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230767",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 2015; 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.