Mid-Columbia Family Physicians,P.S.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MID-COLUMBIA FAMILY PHYSICIANS,P.S.

Doing business as

Mid Columbia Family Health Center
NorthShore Medical Group

Practice address

65371 Highway 14
White Salmon, WA 98672-9867

Phone

(509) 493-2133

Fax

(509) 493-9544

NPI assigned

Jul 1, 2006

Last updated

Nov 26, 2018By 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

Dr. R Allen Laberge, MD

Title

President

Phone

(509) 493-2133

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• MID COLUMBIA FAMILY HEALTH CENTER Doing business as
• NorthShore Medical Group Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1699704676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721519",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65371 HIGHWAY 14",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986729867",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 SKYLINE DR",
            "address_purpose": "LOCATION",
            "city": "White Salmon",
            "state": "WA",
            "postal_code": "986720212",
            "country_code": "US",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-COLUMBIA FAMILY PHYSICIANS,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "LABERGE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-493-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "600416746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7065113",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7033376",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID COLUMBIA FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MID COLUMBIA FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthShore Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Kaufman McClure, MOT, OTR/L
• Lindsay McHugh, FNP-C
• Chandra Kay Mershon, RN
• Mesmerized Gallery and Healing Space
• Mid-Columbia Family Physicians,P.S. (Mid Columbia Family Health Center)
• Tim Middaugh, D.M.D
• Athena Gabriella Miller, RN
• Greta Mills
• Monarch Psychotherapy
• Denise L Morrison, P.A.

• Rural Health Clinic/Center in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.