MID-COLUMBIA MEDICAL CENTER
NPI 1366809048
Clinic/Center - Multi-Specialty in The Dalles, OR

Active since January 26, 2016
1810 E. 19TH ST. #225, THE DALLES, OR 97058(541) 296-6101(541) 296-0025 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2023, Mar 22, 2023, Nov 6, 2017 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 1366809048), doing business as Adventist Health Columbia Gorge, is a healthcare organization registered as a multi-specialty in The Dalles, Oregon and active in the NPI registry since January 2016. The organization lists Kyle King, Service Area President, as its authorized official.

NPPES Registry Identity

NPI1366809048
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMID-COLUMBIA MEDICAL CENTER
Location Address1810 E. 19TH ST. #225The Dalles, OR 97058
Mailing AddressPo Box 1520The Dalles, OR 97058 · (541) 298-7971 · Fax (541) 296-6431
Fax(541) 296-0025
Organization SubpartNo
Authorized OfficialKyle KingService Area President · (503) 261-4405
Enumeration DateJanuary 26, 2016
Last NPPES UpdateApril 14, 20256 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1366809048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedSurgeryTaxonomy 208600000X

Other Names 2

Doing Business AsAdventist Health Columbia Gorge
Doing Business AsMcmc Surgical Clinic

Other Identifiers 2

Medicaid500704145OR
Medicaid2057713WA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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. 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 1871079111
4241 FLORIN RD
Sacramento, CA 95823
(916) 469-4690
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1629465554
5050 NE HOYT ST STE 256
Portland, OR 97213
(503) 239-7767
✔ PECOS✔ Accepts Medicare
Family Practice
NPI 1033192273
1620 E 12TH ST
The Dalles, OR 97058
(541) 296-9151
✔ PECOS
Cardiac Electrophysiology
NPI 1255515938
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts Medicare
Pathology
NPI 1225048762
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
(360) 514-2116
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1639479405
215 COLUMBIA ST STE 101
Hood River, OR 97031
(503) 310-8102
✔ PECOS✔ Accepts Medicare
Emergency Medicine
NPI 1003269481
14 MEDICAL PARK STE 350 EMERGENCY MEDICINE DEPARTMENT
Columbia, SC 29203
(803) 434-3790
✔ PECOS✔ Accepts Medicare
Pediatric Medicine
NPI 1760569339
KADENA PEDIATRIC CLINIC 18MDG / SGHQ UNIT 5142
Apo, AP 96367
(315) 630-4542
✔ PECOS
Orthopedic Surgery
NPI 1295830917
501 N GRAHAM ST SUITE 250
Portland, OR 97227
(503) 249-0719
✔ PECOS✔ Accepts Medicare
Obstetrics/Gynecology
NPI 1053553743
5141 BROADWAY
New York, NY 10034
(212) 932-4000
✔ PECOS✔ Accepts Medicare
Neurology
NPI 1619347606
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-7772
✔ PECOS✔ Accepts Medicare
Internal Medicine
NPI 1750364451
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare
Cardiovascular Disease (Cardiology)
NPI 1164788808
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts Medicare
Radiation Oncology
NPI 1639498561
9205 SW BARNES RD SUITE 20
Portland, OR 97225
(503) 216-2401
✔ PECOS
Mental Health Counselor
NPI 1861700734
419 E 7TH ST STE 207
The Dalles, OR 97058
(541) 296-5452
✔ PECOS✔ Accepts Medicare
General Surgery
NPI 1285054932
1615 DELAWARE ST
Longview, WA 98632
(360) 501-3500
✔ PECOS✔ Accepts Medicare
Nephrology
NPI 1851473730
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-3442
✔ PECOS✔ Accepts Medicare
Medical Oncology
NPI 1437410099
2215 BURDETT AVE
Troy, NY 12180
(518) 271-3775
✔ PECOS✔ Accepts Medicare
Preventive Medicine
NPI 1548346109
19251 MACK AVE STE 100
Grosse Pointe Woods, MI 48236
(313) 343-7852
✔ PECOS
Interventional Cardiology
NPI 1033351093
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts Medicare
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 1366809048. It was assigned to this organization in the NPPES registry on January 26, 2016. The provider is doing business as Adventist Health Columbia Gorge and MCMC Surgical Clinic.

Where is Mid-Columbia Medical Center located?

Mid-Columbia Medical Center is located at 1810 E. 19th St. #225, The Dalles, OR 97058. The listed phone number is (541) 296-6101.

What is Mid-Columbia Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.