Organization
MID-VALLEY COMMUNITY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARLAN D. HALMA M.D. (MEDICAL DIRECTOR)
(509) 839-6822
Entity
Organization
Contact information
Practice address
700 S 11TH ST, SUNNYSIDE, WA 98944-2243
(509) 839-6822
(509) 839-5913
Mailing address
PO BOX 957, SUNNYSIDE, WA 98944-0957
(509) 839-6822
(509) 839-5913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
601689666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052273
—
WA
05
—
7075070
—
WA
05
—
8156861
—
WA
05
—
8283707
—
WA
01
—
MD00026187
DR WRUNG STATE LICENSE
WA
01
—
MD00032042
DR HALMA STATE LICENSE
WA
01
—
OP00000839
DR. SWOFFORD STATE LICENS
WA
Enumeration date
05/17/2006
Last updated
04/25/2011
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