MID-COLUMBIA MEDICAL CENTER
NPI 1053409599
General Practice in The Dalles, OR
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-columbia Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
195Medicare enrollment records show 195 clinicians reassign Medicare billing to Mid-Columbia Medical Center, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 195Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ORCertificate of Waiver 38D2129445
Mid-Columbia Medical Center Cardiac & Pulmonary Rehab · The Dalles, ORCertificate of Accreditation 38D2120010
Mid-Columbia Medical Center Pathology · The Dalles, ORFrequently 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.
Is Mid-Columbia Medical Center enrolled in Medicare?
Yes. Mid-Columbia Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid-Columbia Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 195 clinicians in 30 Medicare specialties reassign their Medicare billing to Mid-Columbia Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Emergency Medicine (27) and Family Practice (15). Of these, 12 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 19 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.
# Mid-Columbia Medical Center · NPI 1053409599
General Practice organization in The Dalles, Oregon. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1053409599 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** ADVENTIST HEALTH COLUMBIA GORGE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyle King, SERVICE AREA PRESIDENT
## Practice location
- **Address:** 1700 E 19TH ST, The Dalles, OR 97058-3317
- **Phone:** (541) 296-1111 · **Fax:** (541) 296-7619
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 195 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Emergency Medicine (27), Family Practice (15); 12 practice at this address and 43 within 10 miles; [full list](https://npiprofile.com/npi/1053409599/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2025
- **Other identifiers:** Medicaid 2008493 (WA); Medicaid 070115 (OR)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053409599) · Data from the CMS NPPES public registry.