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MID-VALLEY COMMUNITY CLINIC PLLC NPI 1447203104


NPI Information

NPI: 1447203104
Provider Name: MID-VALLEY COMMUNITY CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D0917989

Address:
700 S 11TH ST
SUNNYSIDE, WA
ZIP 98944
Phone: (509) 839-6822
Get Directions

MID-VALLEY COMMUNITY CLINIC, PLLC is a family medicine in Sunnyside, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MID-VALLEY COMMUNITY CLINIC, PLLC NPI is 1447203104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 S 11TH ST
SUNNYSIDE, WA
ZIP 98944-243
Phone: (509) 839-6822
Fax: (509) 839-5913

The provider's authorized official is Harlan D. Halma .
The authorized official title is Medical Director and has the following contact phone number (509) 839-6822.

The CLIA number assigned to this NPI record is 50D0917989 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2006 and was last updated on 4/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine601689666WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1115140703MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONDR HALMA - MEDICARE
28156861MEDICAIDWASHINGTON
38283707MEDICAIDWASHINGTON
4OP00000839OTHERWASHINGTONDR. SWOFFORD STATE LICENS
5F49187MEDICARE UPINWASHINGTON
6MD00026187OTHERWASHINGTONDR WRUNG STATE LICENSE
7115140705MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONDR WRUNG MEDICARE
8115140700MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONGROUP #
9115140704MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONDR SWOFFORD-MEDICARE
107075070MEDICAIDWASHINGTON
111052273MEDICAIDWASHINGTON
12B42862MEDICARE UPINWASHINGTON
13503907MEDICARE OSCAR/CERTIFICATIONWASHINGTON
14E17783MEDICARE UPINWASHINGTON
15MD00032042OTHERWASHINGTONDR HALMA STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.