MID-COLUMBIA MEDICAL CENTER
NPI 1679086516
Clinic/Center - Multi-Specialty in Goldendale, WA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since November 14, 2017

317 SANDERS WAY, GOLDENDALE, WA 98620(541) 296-1111 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2023, Apr 26, 2018, Nov 14, 2017 (3 updates tracked since 2017).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty

About MID-COLUMBIA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mid-columbia Medical Center, a provider established in Goldendale, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1679086516 assigned on November 2017. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kyle King (Service Area President)

NPI: 1679086516 Verify this NPI
Provider Name: MID-COLUMBIA MEDICAL CENTER
Other Name Type: (6)
Entity Type: Organization
Location Address: 317 SANDERS WAY GOLDENDALE, WA 98620
Location Phone: (541) 296-1111
Mailing Address: PO BOX 1520 THE DALLES, OR 97058
Mailing Phone: (541) 506-6530
Mailing Fax: (541) 506-6531
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-14-2017
Last Update Date: 04-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities
License State: WA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KYLE KING
Authorized Official Title: SERVICE AREA PRESIDENT
Authorized Official Phone: (503) 261-4405