| Mid-valley Community Clinic, Pllc | |
|
700 S 11th St Sunnyside WA 98944-2243 | |
| (509) 839-6822 | |
| (509) 839-5913 |
| Full Name | Mid-valley Community Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 S 11th St, Sunnyside, Washington |
| Authorized Official Name and Position | Harlan D. Halma (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5098396822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-valley Community Clinic, Pllc Po Box 957 Sunnyside WA 98944-0957 Ph: (509) 839-6822 | Mid-valley Community Clinic, Pllc 700 S 11th St Sunnyside WA 98944-2243 Ph: (509) 839-6822 |
| NPI Number | 1447203104 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 04/25/2011 |
| Medicare PECOS PAC ID | 8729976998 |
|---|---|
| Medicare Enrollment ID | O20040309000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447203104 | NPI | - | NPPES |
| 8283707 | Medicaid | WA | |
| MD00026187 | Other | WA | DR WRUNG STATE LICENSE |
| MD00032042 | Other | WA | DR HALMA STATE LICENSE |
| 1052273 | Medicaid | WA | |
| OP00000839 | Other | WA | DR. SWOFFORD STATE LICENS |
| 8156861 | Medicaid | WA | |
| 7075070 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 601689666 (Washington) | Primary |
| Provider Name | David W Shoemaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912932658 PECOS PAC ID: 2365339736 Enrollment ID: I20040301000894 |
| Provider Name | Douglas E Wrung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689751679 PECOS PAC ID: 8022000777 Enrollment ID: I20040831001271 |
| Provider Name | Harlan D Halma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487609814 PECOS PAC ID: 3072505726 Enrollment ID: I20041102000582 |
| Provider Name | Robert E Coleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174671192 PECOS PAC ID: 0840182010 Enrollment ID: I20070717000751 |
| Provider Name | David J Swofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427125848 PECOS PAC ID: 6800811563 Enrollment ID: I20120104000856 |
| Provider Name | Irma Z Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366880734 PECOS PAC ID: 4880835800 Enrollment ID: I20130802000020 |
| Provider Name | Blake Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053605493 PECOS PAC ID: 0345480091 Enrollment ID: I20140712000098 |
| Provider Name | Kristin L Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770877110 PECOS PAC ID: 6103067301 Enrollment ID: I20141015002464 |
| Provider Name | Elba Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132704 PECOS PAC ID: 4385924927 Enrollment ID: I20161216001601 |
| Provider Name | Mariana Guerrero-sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851013973 PECOS PAC ID: 8123494408 Enrollment ID: I20221012002244 |
Yakima Neighborhood Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Scoon Rd, Sunnyside, WA 98944 Phone: 509-454-4143 | |
Yakima Valley Farm Workers Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 E Lincoln Ave, Sunnyside, WA 98944 Phone: 509-837-7178 | |
Douglas E Wrung Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Franklin Ave, Sunnyside, WA 98944 Phone: 509-839-4555 Fax: 509-839-0189 | |
Sunnyside Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Tacoma Ave, Sunnyside, WA 98944 Phone: 509-837-1500 Fax: 509-837-1533 | |
Achebe Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Tacoma Ave, Sunnyside, WA 98944 Phone: 509-837-1500 | |
Ronald Couturier Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 E Lincoln Ave, Sunnyside, WA 98944 Phone: 501-588-4478 |