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CH10103BD Yakima Valley Farm Workers Clinic (Terminated)
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Main Details
Name
Yakima Valley Farm Workers Clinic
Subdivision Name
Rosewood Family Health at Gateway
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031767
340B ID
CH10103BD
Grant Number
H80CS00639
Additional Details
Current Program Status
Terminated
Registration Date
1/8/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/11/2021
Last Recertification Date
2/23/2023
Termination Date
Termination Reason
10/1/2023
Site closure
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
135 NE 102nd Ave
Portland, OR 97220-4167
Billing Address
Yakima Valley Farm Workers Clinics
PO Box 190
Toppenish, WA 98948
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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