| Organization Name: | MID COLUMBIA MEDICAL CENTER |
| NPI Number: | 1053409599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD O ARBON (VICE PRESIDENT CFO) |
| Mailing Address: | 1700 E 19th St The Dalles |
| State: | OR US |
| Postal Code: | 970583317 |
| Phone Number: | 5412967760 |
| Fax Number: | 5412967619 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |