MEDICARE: YAKIMA VALLEY FARM WORKERS CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1689524290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKIMA VALLEY FARM WORKERS CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	TOPPENISH
State	:	WA
Zip	:	98948-0190
Country	:	US
Telephone Number	:	509-865-6175
Fax Number	:	509-865-2139

Provider Business Practice Location Address
First Line	:	6335 RIO GRANDE AVE
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336
Country	:	US
Telephone Number	:	509-579-5830
Fax Number	:	509-579-5908

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTINE TROTTER
Credential	:
Telephone Number	:	509-865-6175

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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