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CH10103AP YAKIMA VALLEY FARM WORKERS CLINIC (Active)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Pacific Pedatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017529
340B ID
CH10103AP
Grant Number
H80CS00639
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
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
1475 Mount Hood Ave
Woodburn, OR 97071
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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