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CH10103AZ YAKIMA VALLEY FARM WORKERS CLINIC (Active)
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Main Details
Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
Rosewood Family Health Center at Lents
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024387
340B ID
CH10103AZ
Grant Number
H80CS00639
Additional Details
Current Program Status
Active
Registration Date
10/2/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/3/2018
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
9047 SE Foster Rd
Portland, OR 97266
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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