Mcmc Specialty Clinics Waters Edge
LBN: Mid-Columbia Medical Center
Mcmc Specialty Clinics Waters Edge is an health care organization with primary practice located at 1825 E 19Th St , The Dalles OR 97058-3365. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Multi-Specialty 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
1825 E 19Th St
The Dalles OR 97058-3365
Phone: (541) 506-6920
Fax: (541) 296-5451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1992094817 |
|---|---|
| LBN Legal business name | Mid-Columbia Medical Center |
| DBA Doing business as | Mcmc Specialty Clinics Waters Edge |
| Authorized official | Knox, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Jun 19th, 2023 - about last year |
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 | 1992094817 | NPPES |
| Washington | MEDICAID | 2013509 | |
| Washington | MEDICAID | 500636659 |
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