Water'S Edge Medical Clinic
LBN: Mid-Columbia Medical Center
Water'S Edge Medical Clinic is an health care organization with primary practice located at 551 Lone Pine Blvd , The Dalles OR 97058. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mid-Columbia Medical Center can be contacted via phone (541) 506-6920, or through Knox, Dennis via phone (541) 296-7273.
Contact Information
Primary practice address
551 Lone Pine Blvd
The Dalles OR 97058
Phone: (541) 506-6920
Fax: (541) 296-5451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1407887052 |
|---|---|
| LBN Legal business name | Mid-Columbia Medical Center |
| DBA Doing business as | Water'S Edge Medical Clinic |
| Authorized official | Knox, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jun 16th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407887052 | NPPES |
| Oregon | MEDICAID | 218103 | |
| Oregon | MEDICAID | 276258 | |
| Oregon | MEDICAID | 1009681 |
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