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CH10103AX YAKIMA VALLEY FARM WORKERS CLINIC (Terminated)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Programs Office at Fiesta Foods
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019293
340B ID
CH10103AX
Grant Number
H80CS00639
Additional Details
Current Program Status
Terminated
Registration Date
3/15/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/15/2017
Last Recertification Date
2/10/2021
Termination Date
Termination Reason
4/1/2022
Never implemented the 340B Program
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
1112 E. Nob Hill Blvd., Suite I
Yakima, WA 98901-3619
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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