| Organization Name: | YAKIMA VALLEY FARM WORKERS CLINIC |
| NPI Number: | 1114344611 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN C OLIVARE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1715 E Lincoln Ave Sunnyside |
| State: | WA US |
| Postal Code: | 989442478 |
| Phone Number: | 5098377178 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 600304660001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |