MCMC SPECIALTY CLINICS WATERS EDGE
NPI 1992094817
Clinic/Center - Multi-Specialty in The Dalles, OR

Active since March 31, 2011
1825 E 19TH ST, THE DALLES, OR 97058(541) 506-6920(541) 296-5451 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Dec 29, 2021, Jun 20, 2018 and 4 more (7 updates tracked since 2016).

About Mcmc Specialty Clinics Waters Edge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCMC SPECIALTY CLINICS WATERS EDGE (NPI 1992094817) is a healthcare organization registered as a multi-specialty in The Dalles, Oregon and active in the NPI registry since March 2011. The organization maintains a secondary practice location in The Dalles and lists Dennis Knox, Corporate Officer Ceo, as its authorized official.

NPPES Registry Identity

NPI1992094817
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMID-COLUMBIA MEDICAL CENTER
Location Address1825 E 19TH STThe Dalles, OR 97058-3365
Mailing AddressPo Box 1520The Dalles, OR 97058-8003 · (541) 506-6920 · Fax (541) 296-5451
Fax(541) 296-5451
Organization SubpartNo
Authorized OfficialDennis KnoxCorporate Officer Ceo · (541) 296-7273
Enumeration DateMarch 31, 2011
Last NPPES UpdateJune 19, 20237 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1992094817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
1825 E 19TH ST, The Dalles, OR 97058

Other Names 3

Doing Business AsMcmc Specialty Clinics Waters Edge
Doing Business AsAdventist Health Columbia Gorge
Doing Business AsMcmc Occupational Health

Secondary Practice Location 1

Location 1551 Lone Pine Blvd Ste 200The Dalles, OR 97058-9404 · Phone (541) 506-5866

Other Identifiers 2

Medicaid2013509WA
Medicaid500636659OR

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1825 E 19TH ST, SUITE 3
THE DALLES, OR 97058
Internal Medicine
1825 E 19TH ST
THE DALLES, OR 97058
Internal Medicine
1825 E 19TH ST
THE DALLES, OR 97058
Internal Medicine (Infectious Disease)
1825 E 19TH ST, SUITE 3
THE DALLES, OR 97058
Nurse Practitioner (Adult Health)
1825 E 19TH ST
THE DALLES, OR 97058
Nurse Practitioner (Family)
1825 E 19TH ST
THE DALLES, OR 97058
Internal Medicine (Geriatric Medicine)
1825 E 19TH ST
THE DALLES, OR 97058
Internal Medicine (Infectious Disease)
1825 E 19TH ST, SUITE 3
THE DALLES, OR 97058

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 1992094817. It was assigned to this organization in the NPPES registry on March 31, 2011. The provider is doing business as Mcmc Specialty Clinics Waters Edge, Adventist Health Columbia Gorge and MCMC Occupational Health.

Where is Mid-Columbia Medical Center located?

Mid-Columbia Medical Center is located at 1825 E 19th St, The Dalles, OR 97058. The listed phone number is (541) 506-6920.

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.

What insurance does Mid-Columbia Medical Center accept?

Health plans from BridgeSpan Health Company 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 June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.