Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
11TH AVENUE FAMILY MEDICINE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TROTTER (CHIEF EXECUTIVE OFFICER)
(508) 865-6175
Entity
Organization
Contact information
Practice address
314 S 11TH AVE, YAKIMA, WA 98902-3212
(509) 902-8585
(509) 902-2030
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
(509) 865-2139
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600304660-001-0040
STATE BUSINESS LICENSE
WA
Enumeration date
03/06/2019
Last updated
03/17/2025
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