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CH10628B YAKIMA VALLEY FARM WORKERS CLINIC (Terminated)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Clatskanie School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019304
340B ID
CH10628B
Grant Number
H80CS00639
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
2/7/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Yakima Valley Farm Workers Clinic
JUAN CARLOS OLIVARES, CEO
(509) 865-5898 Ext: 2101
Primary Contact
Yakima Valley Farm Workers Clinic
Glen Davis, COO
(509) 865-6175 Ext: 2618
Addresses
Street Address
Clatskanie Middle High School 471 Bel Air Dr
Clatskanie, OR 97016
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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Changes made to this record on 3/8/17 and 3/9/17 are due to the merger between Yakima Valley Farm Workers Clinic and Coastal Family Health Center
03/09/2017
May 2025
May 2025
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