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YAKIMA VALLEY FARM WORKERS CLINIC
CH100570 COLUMBIA VALLEY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
COLUMBIA VALLEY COMMUNITY HEALTH
Subdivision Name
CVCH Wenatchee Clinic
Type
HRSA-Funded Health Center
340B ID
CH100570
Entity Address
600 Orondo Ave STE 1
Wenatchee, WA 98801
Grant Number
H80CS00574
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
YAKIMA VALLEY FARM WORKERS CLINIC
Pharmacy Address
TOPPENISH MEDICAL-DENTAL CLINIC
510 W 1ST AVE
TOPPENISH, WA 98948-1564
Pharmacy Comments
Contract Details
Approval Date
4/4/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/21/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Manuel Navarro, CEO
(509) 662-6000
Contract Pharmacy Representative
Yakima Valley Farm Workers Clinic
Glen Davis, COO
(509) 865-6175 Ext: 2618
Signed By Date
4/4/2022
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