1. Home
  2. Directory
  3. Oregon
  4. The Dalles
  5. General Practice
  6. NPI Profile

MID-COLUMBIA MEDICAL CENTER
NPI 1053409599
General Practice in The Dalles, OR

Active since October 10, 2006CLIA Certified · 3 labs
1700 E 19TH ST, THE DALLES, OR 97058(541) 296-1111(541) 296-7619 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Jun 16, 2023, Dec 14, 2020 and 3 more (6 updates tracked since 2016).

About Mid-columbia Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-COLUMBIA MEDICAL CENTER (NPI 1053409599), doing business as Adventist Health Columbia Gorge, is a healthcare organization registered as a general practice in The Dalles, Oregon and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Kyle King, Service Area President, as its authorized official.

NPPES Registry Identity

NPI1053409599
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMID-COLUMBIA MEDICAL CENTER
Location Address1700 E 19TH STThe Dalles, OR 97058-3317
Mailing Address1700 E 19th StThe Dalles, OR 97058-3317 · (541) 296-7668 · Fax (541) 296-1111
Phone(541) 296-1111
Fax(541) 296-7619
Organization SubpartNo
Authorized OfficialKyle KingService Area President · (503) 261-4405
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 28, 20256 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1053409599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1700 E 19TH ST, The Dalles, OR 97058
Open in Google Maps ↗

Other Names 1

Doing Business AsAdventist Health Columbia Gorge

Other Identifiers 2

Medicaid2008493WA
Medicaid070115OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0656815

Mid-Columbia Medical Center Laboratory · The Dalles, OR
Active · expires Dec 31, 2027
CLIA Number38D0656815
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorKerry Proctor
Laboratory Phone(541) 296-7214
Laboratory LocationMid-Columbia Medical Center Laboratory1700 E 19th St, The Dalles, OR 97058
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 38D2129445

Mid-Columbia Medical Center Cardiac & Pulmonary Rehab · The Dalles, OR
Active · expires Apr 18, 2027
CLIA Number38D2129445
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorKerry Proctor
Laboratory Phone(541) 296-7214
Laboratory LocationMid-Columbia Medical Center Cardiac & Pulmonary Rehab551 Lone Pine Blvd, Suite 304, The Dalles, OR 97058
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 38D2120010

Mid-Columbia Medical Center Pathology · The Dalles, OR
Active · expires Feb 13, 2027
CLIA Number38D2120010
Laboratory TypeHospital
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorKerry Proctor
Laboratory Phone(541) 296-7214
Laboratory LocationMid-Columbia Medical Center Pathology1810 E 19th St, The Dalles, OR 97058
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL J CARDOSI M.D.
Internal Medicine (Sleep Medicine)
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 276-7760
JOHN WORTH NEWMAN RPH
Pharmacist (Oncology)
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-1111
EDWARD E KICE III M.D.
Anesthesiology
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 298-7936
DR. JASON ROBERT MORICH M.D
Internal Medicine
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-1111
KYLE KIM PHARMD
Pharmacist
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-7526
COLUMBIA RIVER RADIOLOGY, PC
Radiology (Diagnostic Radiology)
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-1111
MID-COLUMBIA MEDICAL CENTER
General Acute Care Hospital (Critical Access)
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-1111
RACHEL HOPKINS PHARM.D., BCPS
Pharmacist
1700 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-7526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Columbia Medical Center's NPI number?

The NPI number for Mid-Columbia Medical Center is 1053409599. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Adventist Health Columbia Gorge.

Where is Mid-Columbia Medical Center located?

Mid-Columbia Medical Center is located at 1700 E 19th St, The Dalles, OR 97058. The listed phone number is (541) 296-1111.

What is Mid-Columbia Medical Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Mid-Columbia Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mid-Columbia Medical Center accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mid-Columbia Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Columbia Medical Center was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.