Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Parent organization
YAKIMA VALLEY FARM WORKERS CLINIC
Other names
Spokane Falls Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Authorized official
JUAN CARLOS OLIVARES CEO (EXECUTIVE DIRECTOR)
(509) 865-6175
Entity
Organization
Contact information
Practice address
120 W MISSION AVE, SPOKANE, WA 99201-2315
(509) 326-4343
(509) 326-4289
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 326-4343
(509) 326-4289
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30820
LABOR AND INDUSTRIES
WA
05
—
7107915
—
WA
Enumeration date
05/19/2006
Last updated
02/12/2008
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