COLUMBIA GORGE FAMILY MEDICINE – NPI #1558346064
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

COLUMBIA GORGE FAMILY MEDICINE is an AHC clinic located in HOOD RIVER, OR. NPPES has assigned the NPI number 1558346064 to COLUMBIA GORGE FAMILY MEDICINE on December 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COLUMBIA GORGE FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is COLUMBIA GORGE MEDICAL CENTER PC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 10 years ago on Feb 16, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLUMBIA GORGE FAMILY MEDICINE below.

NPI Profile for
COLUMBIA GORGE MEDICAL CENTER PC

NPI Number
1558346064
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBIA GORGE MEDICAL CENTER PC
Doing Business As (dba): COLUMBIA GORGE FAMILY MEDICINE
Primary location
1750 12TH ST
HOOD RIVER, OR 97031-1513
Phone: (541) 386-5070 Fax: (541) 386-7190
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TYLER GRAY
MANAGING PARTNER
Phone: (541) 386-5070
Updated
Identifiers

Identifiers for COLUMBIA GORGE FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPT OF LABOR AND INDUSTRWA8901302
OTHERUNITED HEALTHCARE198383
MEDICAIDOR176180
MEDICAIDWA7002678
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.