Organization Name: | MID-COLUMBIA MEDICAL CENTER |
NPI Number: | 1992094817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD ARBON (V.P. CFO) |
Mailing Address: | 1815 E. 19th St The Dalles |
State: | OR US |
Postal Code: | 970589403 |
Phone Number: | 5415066920 |
Fax Number: | 5412965451 |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |