| Organization Name: | MID-COLUMBIA FAMILY PHYSICIANS,P.S. |
| NPI Number: | 1083948582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND J FITZSIMMONS (PRESIDENT) |
| Mailing Address: | 212 Skyline Dr White Salmon |
| State: | WA US |
| Postal Code: | 986721519 |
| Phone Number: | 5094932133 |
| Fax Number: | 5094939538 |
| NPI Enumeration Date: | 09/30/2009 |
| NPI Last Update Date: | 06/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 600416746 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |