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CH10103AG YAKIMA VALLEY FARM WORKERS CLINIC (Active)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Yakima Valley Farm Workers Dental Clinic at the YV-Tech Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013827
340B ID
CH10103AG
Grant Number
H80CS00639
Additional Details
Current Program Status
Active
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Yakima Valley Farm Workers Clinic
Christine Sue Trotter, CEO
(509) 865-6175 Ext: 2128
Primary Contact
Yakima Valley Farm Workers Clinic
Glen Davis, COO
(509) 865-6175 Ext: 2618
Addresses
Street Address
1120 South 18th Street RM 150
Yakima, WA 98901-3654
Billing Address
Yakima Valley Farm Workers Clinic
PO Box 190
Toppenish, WA 98948
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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