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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: August 16, 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
Phone(541) 296-9151
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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.

DR. SARA LEVINE MCCAFFREY M.D.
Pediatrics
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
ROBERT J ALAIMO JR. DO
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
MR. DAVID S MACNALLY PA C
Physician Assistant (Medical)
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
SHAYLYN B MURPHY PA-C
Physician Assistant
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
MISS MARIA YESENIA AGUILAR-ROBLES
Community Health Worker
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
PETER A PERUZZO MD
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
JANE CORBOY MD
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151
JEANETTE C PAYSSE MD
Internal Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Wasco County (541) 296-9151

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.

What insurance does Mid-Columbia Medical Center accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Moda Health Plan, Inc. and PacificSource Health Plans and 1 other insurer 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 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.