MID-COLUMBIA MEDICAL CENTER
NPI 1154351336
Clinic/Center - Rural Health in The Dalles, OR

Active since July 04, 2006
1620 E 12TH ST, THE DALLES, OR 97058(541) 296-9151(541) 296-9156 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2023, Jan 6, 2023, Sep 23, 2016 (3 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 1154351336), doing business as Adventist Health Columbia Gorge, is a healthcare organization registered as a rural health in The Dalles, Oregon and active in the NPI registry since July 2006. The organization lists Kyle King, Service Area President, as its authorized official.

NPPES Registry Identity

NPI1154351336
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMID-COLUMBIA MEDICAL CENTER
Location Address1620 E 12TH STThe Dalles, OR 97058
Mailing Address1620 E 12th St, Po Box 1520The Dalles, OR 97058 · (541) 296-9151 · Fax (541) 296-9156
Fax(541) 296-9156
Organization SubpartNo
Authorized OfficialKyle KingService Area President · (503) 261-4405
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1154351336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1620 E 12TH ST, The Dalles, OR 97058

Other Names 2

Doing Business AsAdventist Health Columbia Gorge
Doing Business AsMcmc Family Medicine

Other Identifiers 2

Medicaid1003624WA
Medicaid218112OR

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

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

195

Medicare enrollment records show 195 clinicians reassign Medicare billing to Mid-Columbia Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Nurse Practitioner33
Emergency Medicine27
Family Practice15
Obstetrics/Gynecology14
Cardiovascular Disease (Cardiology)11
General Surgery11
Pediatric Medicine11
Internal Medicine9
22 other specialties64

Nearest to this location (20)

See all 195
Nurse Practitioner
NPI 1598656407
1620 E 12TH ST
The Dalles, OR 97058
(541) 296-9151
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1033192273
1620 E 12TH ST
The Dalles, OR 97058
(541) 296-9151
✔ PECOSSame address
Clinical Social Worker
NPI 1053628958
1514 E 14TH ST
The Dalles, OR 97058
(541) 965-1875
✔ PECOS0.2 mi
Urology
NPI 1992879514
1805 E 19TH ST
The Dalles, OR 97058
(541) 296-2201
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1336274265
1805 E 19TH ST
The Dalles, OR 97058
(541) 296-2201
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1073870689
1815 E 19TH ST SUITE 1
The Dalles, OR 97058
(541) 298-8676
0.4 mi
Otolaryngology
NPI 1932127412
1815 E 19TH ST STE 1
The Dalles, OR 97058
(541) 298-5563
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1497037675
1825 E 19TH ST
The Dalles, OR 97058
(541) 506-6940
✔ PECOS✔ Accepts Medicare0.4 mi
Radiation Oncology
NPI 1881682573
1800 E 19TH ST
The Dalles, OR 97058
(541) 296-7204
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1043241144
1825 E. 19TH ST
The Dalles, OR 97058
(541) 506-6940
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1750364451
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1770559163
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Emergency Medicine
NPI 1598105454
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Emergency Medicine
NPI 1669416723
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1922989425
1700 E 19TH ST
The Dalles, OR 97058
(541) 705-7681
✔ PECOS0.4 mi
Internal Medicine
NPI 1043530587
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Pathology
NPI 1235353863
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1609187681
1810 E 19TH ST SUITE 225
The Dalles, OR 97058
(541) 296-6101
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1508808890
1810 E 19TH ST SUITE 209
The Dalles, OR 97058
(541) 296-5657
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Nurse Midwife (CNM)
NPI 1124346994
1810 E 19TH ST SUITE 209
The Dalles, OR 97058
(541) 296-5657
✔ PECOS✔ Accepts Medicare0.4 mi
See all 195 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1154351336. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Adventist Health Columbia Gorge and Mcmc Family Medicine.

Where is Mid-Columbia Medical Center located?

Mid-Columbia Medical Center is located at 1620 E 12th St, The Dalles, OR 97058. The listed phone number is (541) 296-9151.

What is Mid-Columbia Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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, 2 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid-Columbia Medical Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Moda Health Plan, Inc. and PacificSource Health Plans 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 April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.