NPIMap

Organization Active NPI

Mid-Valley Community Clinic, PLLC

  • Family Medicine Physician
  • Sunnyside, WA
National Provider Identifier
1447203104
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
601689666 Issued in WA
Legal business name
MID-VALLEY COMMUNITY CLINIC, PLLC
Practice address
700 S 11TH St
Sunnyside, WA 98944-2243
Phone
(509) 839-6822
Fax
(509) 839-5913
NPI assigned
May 17, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Delia Saenz
Title
Cma, Clinic Manager
Phone
(509) 839-6822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 601689666 WA Primary

Addresses

Primary practice location

700 S 11TH St
Sunnyside, WA 98944-2243

Mailing address

PO Box 957
Sunnyside, WA 98944-0957
Phone (509) 839-6822

Other identifiers 6

IdentifierTypeStateIssuer
7075070MedicaidWA
8283707MedicaidWA
MD00026187OtherWADR WRUNG STATE LICENSE
1052273MedicaidWA
MD00032042OtherWADR HALMA STATE LICENSE
8156861MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000567 WA Part B Supplier - Clinic/Group Practice 8729976998 Receives reassigned benefits from 12 practitioners
Practice locations: Sunnyside, WA
O20051011001118 WA Part A Provider - Rural Health Clinic 8729976998 Practice locations: Sunnyside, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447203104. Details of each certification follow.

Rural health clinic certification: CCN 503907

Legal name
MID-VALLEY COMMUNITY CLINIC PLLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 13, 2006
Last certification
Aug 18, 2023
Ownership / control type
1C
Organization structure
PartnershipProprietary
Enrollment address
700 S 11TH St
Sunnyside, WA 98944-2243

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0917989Mid-Valley Community Clinic700 Eleventh Street, Sunnyside, WA 98944Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

700 S 11th St
Sunnyside, WA 98944
Phone (509) 839-6288

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Halma Individual W-2 Managing Employee Mar 1, 1997
Harlan D Halma Individual 5% Or Greater Direct Ownership Interest Feb 12, 1996
Corporate Director Oct 11, 2005
Douglas E Wrung Individual 5% Or Greater Direct Ownership Interest Feb 12, 1996
Corporate Director Oct 11, 2005
Tammie D Laverman Individual W-2 Managing EmployeeOffice Manager Dec 1, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1447203104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440957",
            "telephone_number": "509-839-6822",
            "fax_number": "509-839-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 11TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442243",
            "telephone_number": "509-839-6822",
            "fax_number": "509-839-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY COMMUNITY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "CMA, CLINIC MANAGER",
        "authorized_official_telephone_number": "509-839-6822"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "601689666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7075070",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8283707",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR WRUNG STATE LICENSE",
            "identifier": "MD00026187",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052273",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HALMA STATE LICENSE",
            "identifier": "MD00032042",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8156861",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.