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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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386773588
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 : 509-326-4343
Fax Number :
Provider Business Practice Location Address
First Line : 120 W MISSION AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2322
Country : US
Telephone Number : 509-326-4343
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHRISTINE TROTTER
Credential :
Telephone Number : 509-865-6175
Provider Enumeration Date : 03/05/2007
Last Update Date : 03/20/2025

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Directions to “YAKIMA VALLEY FARM WORKERS CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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