| Organization Name: | MID-COLUMBIA MEDICAL CENTER |
| NPI Number: | 1194975078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DON ARBON (VP FINANCE) |
| Mailing Address: | 1730 E. 12th St The Dalles |
| State: | OR US |
| Postal Code: | 97058 |
| Phone Number: | 5412969151 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2008 |
| NPI Last Update Date: | 10/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |