MID-COLUMBIA MEDICAL CENTER

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Company Details

Legal Name:	MID-COLUMBIA MEDICAL CENTER
Jurisdiction:	WASHINGTON
Entity Type:	FOREIGN NONPROFIT CORPORATION
Category:	FOREIGN ENTITY
Status:	Active
Formation/ Registration Date:	March 21st 2024
Expiration date:	31 Mar 2026
UBI Number:	605 468 252
Home State:	OREGON
Principal Office Street Address:	1700 E 19TH ST, THE DALLES, OR, 97058-3317, UNITED STATES
Principal Office Mailing Address:	1 ADVENTIST HEALTH WAY, ATTN SYSTEM GOVERNANCE, ROSEVILLE, CA, 95661-3266, UNITED STATES

Contact Details

E-Mail:	GONZALK7@AH.ORG
Phone Number:	+1 541-296-1111

Nature of Business

HEALTH CARE SERVICES

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Registered Agent Information

Name	Role
CORPORATION SERVICE COMPANY	Registered Agent

Key Officers & Management

Name	Role
MEREDITH JOBE	Governing Person
KYLE KING	Governing Person
MICAH SMITH	Governing Person

National Provider Identifier

NPI Number:

1679086516

Certification Date:

2025-04-14

Link:

View on NPI website

Authorized Person:

Name:

KYLE KING

Role:

SERVICE AREA PRESIDENT

Phone:

5032614405

Taxonomy:

Selected Taxonomy:

261QM1300X - Multi-Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 541-506-6530

Fax:

5415066531

Phone:

+1 541-296-1111

Facilities

FRS ID:

110041411353

Facility Address:

UNKNOWN, THE DALLES, KLICKITAT, WA, 00000

Link:

View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:

EIS

Identifier:

10964111

NAICS Code:

488119

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MID-COLUMBIA MEDICAL CENTER

Is this your business?

Company Details

Contact Details

Nature of Business

Reviews Leave a review

Registered Agent Information

Key Officers & Management

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Facilities

Facility NAICS Codes

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