| Mcmc Specialty Clinics Waters Edge | |
|
1825 E 19th St The Dalles OR 97058-3365 | |
| (541) 506-6920 | |
| (541) 296-5451 |
| Full Name | Mcmc Specialty Clinics Waters Edge |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1825 E 19th St, The Dalles, Oregon |
| Authorized Official Name and Position | Dennis Knox (CORPORATE OFFICER CEO) |
| Authorized Official Contact | 5412967273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmc Specialty Clinics Waters Edge Po Box 1520 The Dalles OR 97058-8003 Ph: (541) 506-6920 | Mcmc Specialty Clinics Waters Edge 1825 E 19th St The Dalles OR 97058-3365 Ph: (541) 506-6920 |
| NPI Number | 1992094817 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992094817 | NPI | - | NPPES |
| 2013509 | Medicaid | WA | |
| 500636659 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-1111 Fax: 541-296-7619 | |
One Community Health- The Dalles Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Webber St, The Dalles, OR 97058 Phone: 541-296-4610 | |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Water's Edge Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 Fax: 541-296-5451 | |
Fran M Yuhas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 E 19th St, Suite 3, The Dalles, OR 97058 Phone: 509-493-1467 Fax: 509-493-3765 | |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 E 19th St, The Dalles, OR 97058 Phone: 541-506-6520 | |
Columbia River Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1919 Fax: 541-296-2253 |