Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
Casa De Esperanza
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS OLIVARES CEO (EXECUTIVE DIRECTOR)
(509) 865-6175
Entity
Organization
Contact information
Practice address
402 N 4TH ST, STE 300, YAKIMA, WA 98901-2470
(509) 453-9387
Mailing address
402 N 4TH ST, STE 300, YAKIMA, WA 98901-2470
(509) 453-9387
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991728
—
WA
Enumeration date
02/26/2007
Last updated
08/22/2020
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