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CH10103AV YAKIMA VALLEY FARM WORKERS CLINIC (Active)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Behavioral Health Services on 12th Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017215
340B ID
CH10103AV
Grant Number
H80CS00639
Additional Details
Current Program Status
Active
Registration Date
3/15/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/15/2017
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
307 S. 12th Avenue, Suites 4A-C
Yakima, WA 98902-3100
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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