Active NPI
Mid Columbia Health Services
- Emergency Medicine Physician
- The Dalles, OR
National Provider Identifier
1881763852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MID COLUMBIA HEALTH SERVICES
- Practice address
- 1700 E 19TH St
The Dalles, OR 97058-3317 - Phone
- (541) 296-1111
- NPI assigned
- Nov 6, 2006
- 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. Don Arbon
- Title
- Cfo
- Phone
- (541) 296-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1700 E 19TH St
The Dalles, OR 97058-3317
Mailing address
PO Box 4800
Unit 17
Portland, OR 97208-4800
Phone (888) 633-0087
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8922672 | Other | WA CRIME VICTIMS | |
| 7058977 | Medicaid | WA | |
| 35236 | Other | WORKERS COMP | |
| 0235001 | Other | PREFERRED ONE | |
| 168114 | Medicaid | OR |
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.
-
- General Practice Physician
- The Dalles, OR
- NPI 1295928836
-
- 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": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188172800000",
"number": "1881763852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4800",
"address_2": "UNIT 17",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084800",
"telephone_number": "888-633-0087"
},
{
"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": "541-296-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID COLUMBIA HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2007-08-27",
"status": "A",
"authorized_official_last_name": "ARBON",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "541-296-1111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA CRIME VICTIMS",
"identifier": "8922672",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058977",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "35236",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "0235001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168114",
"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 Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.