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	261QF0400X	Federally Qualified Health Center (FQHC)	600304660	WA

General Provider Information

NPI Number	:	1932400546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKIMA VALLEY FARM WORKERS CLINIC

Provider Business Mailing Address
First Line	:	4001 N COOK ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-5879
Country	:	US
Telephone Number	:	509-483-3427
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N COOK ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-5879
Country	:	US
Telephone Number	:	509-483-3427
Fax Number	:

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

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	03/27/2025

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