MCMC SPECIALTY CLINICS WATERS EDGE
NPI 1992094817
Clinic/Center - Multi-Specialty in The Dalles, OR
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
Specialties & Licenses 2
Other Names 3
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcmc Specialty Clinics Waters Edge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
195Medicare enrollment records show 195 clinicians reassign Medicare billing to Mcmc Specialty Clinics Waters Edge, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 195Source: 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 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.
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, 5 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Mcmc Specialty Clinics Waters Edge · NPI 1992094817
Multi-Specialty organization in The Dalles, Oregon. Organization record, active in the CMS NPPES registry since March 31, 2011.
## Identity
- **NPI:** 1992094817 (Entity type: Organization)
- **Enumerated:** March 31, 2011
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Mid-Columbia Medical Center
- **Also known as:** Adventist Health Columbia Gorge (Doing Business As); MCMC Occupational Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dennis Knox, CORPORATE OFFICER CEO
## Practice location
- **Address:** 1825 E 19TH ST, The Dalles, OR 97058-3365
- **Phone:** (541) 506-6920 · **Fax:** (541) 296-5451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 195 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Emergency Medicine (27), Family Practice (15); 5 practice at this address and 43 within 10 miles; [full list](https://npiprofile.com/npi/1992094817/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2023
- **Other identifiers:** Medicaid 2013509 (WA); Medicaid 500636659 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1992094817) · Data from the CMS NPPES public registry.