| Swofford & Halma Clinic, Inc. P.s. | |
|
2303 Reith Way Sunnyside WA 98944 | |
| (509) 837-3933 | |
| (509) 837-3885 |
| Full Name | Swofford & Halma Clinic, Inc. P.s. |
|---|---|
| Speciality | Family Medicine |
| Location | 2303 Reith Way, Sunnyside, Washington |
| Authorized Official Name and Position | Harlan D Halma (CO-OWNER) |
| Authorized Official Contact | 5098373933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swofford & Halma Clinic, Inc. P.s. Po Box 119 Sunnyside WA 98944 Ph: (509) 837-3933 | Swofford & Halma Clinic, Inc. P.s. 2303 Reith Way Sunnyside WA 98944 Ph: (509) 837-3933 |
| NPI Number | 1992758486 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 3375535024 |
|---|---|
| Medicare Enrollment ID | O20040401000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992758486 | NPI | - | NPPES |
| 8156861 | Medicaid | WA | |
| 8325193 | Medicaid | WA | |
| 9632795 | Medicaid | WA | |
| 8283707 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 600135300 (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 | Harlan D Halma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487609814 PECOS PAC ID: 3072505726 Enrollment ID: I20041102000582 |
| Provider Name | Jeana M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700929304 PECOS PAC ID: 2264489442 Enrollment ID: I20050331000746 |
| 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 | Pradheep Jothi Shanker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20140410002242 |
| Provider Name | Blake Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053605493 PECOS PAC ID: 0345480091 Enrollment ID: I20140712000098 |
| Provider Name | Michael Yuz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710972617 PECOS PAC ID: 6507756822 Enrollment ID: I20201103001398 |
| Provider Name | Bristol I Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669041778 PECOS PAC ID: 2365848686 Enrollment ID: I20210910001873 |
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