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NPI Code Detail

MEDICARE: YAKIMA VALLEY FARM WORKERS CLINIC

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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063382281
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 : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-325-8315
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHRISTINE TROTTER
Credential :
Telephone Number : 509-865-6175
Provider Enumeration Date : 11/11/2025
Last Update Date : 01/06/2026

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Directions to “YAKIMA VALLEY FARM WORKERS CLINIC ” Practice Location

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