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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