NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

Doing business as Yakima Medical Center

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
National Provider Identifier
1174659890
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
Yakima Medical Center
Practice address
602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone
(509) 457-6881
Fax
(509) 453-6144
NPI assigned
Feb 26, 2007
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
YAKIMA VALLEY FARM WORKERS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Trotter
Title
Chief Executive Officer
Phone
(509) 865-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

602 E Nob Hill Blvd
Yakima, WA 98901-3534

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 457-6881

Other identifiers 3

IdentifierTypeStateIssuer
7033913MedicaidWA
YA0023OtherWAREGENCE BLUE SHIELD
68100OtherVALABOR AND INDUSTRIES

Other names 1

  • Yakima Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040211000663 WA Part B Supplier - Clinic/Group Practice 4385541986 Receives reassigned benefits from 321 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wapato, WA; Yakima, WA; Ellensburg, WA; Toppenish, WA; Grandview, WA; Granger, WA; Kennewick, WA; Pasco, WA…
O20101004001436 WA Part A Provider - Federally Qualified Health Center (FQHC) 4385541986 Practice locations: Yakima, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174659890. Details of each certification follow.

Federally qualified health center certification: CCN 501817

Legal name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
YAKIMA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Feb 28, 1978 in WA
Enrollment address
602E Nob Hill Blvd
Yakima, WA 98901-3534

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0674695Yvfwc Yakima Medical Center602 E Nob Hill Blvd, Yakima, WA 98901Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Fernando Dietsch MD

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sandra April Individual Corporate Director Aug 6, 2010
Thomas Sak Individual Corporate Director Aug 6, 2010
Jose Alberto Nunez Individual Corporate Director Aug 6, 2010
Lorenzo Cuevas Individual Corporate Director Aug 6, 2010
Virginia Santillanes Individual Corporate Director Aug 6, 2010
Sheila Robertson Individual Corporate OfficerBilling Supervisor Jan 1, 2020
W-2 Managing EmployeeBilling Supervisor Jan 1, 2020
Irene Taylor Individual Corporate DirectorBoard Member Aug 1, 2019
Martin Torres Individual Corporate Director Aug 6, 2010
Alfredo Aceves Individual Corporate Director Aug 6, 2010
Christine Trotter Individual Corporate OfficerCeo Feb 17, 2020
W-2 Managing EmployeeCeo Feb 17, 2020
Roberto Alvizo Individual Corporate DirectorBoard Member Jan 1, 2014
Patricia Myers Individual Corporate Director Aug 6, 2010
Adrian Ochoa Individual Corporate DirectorBoard Member May 1, 2021

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lancaster Family Health Center at LancasterSalem, OR, CCN 381971 Federally qualified health center Operational/Managerial Control Jan 9, 2017
Coastal Family Health CenterAstoria, OR, CCN 931016 Federally qualified health center Operational/Managerial Control Mar 1, 2017
Miramar Health Center KennewickKennewick, WA, CCN 941124 Federally qualified health center Operational/Managerial Control Mar 25, 2021

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1174659890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-457-6881",
            "fax_number": "509-453-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013534",
            "telephone_number": "509-457-6881",
            "fax_number": "509-453-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7033913",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "YA0023",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "68100",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yakima Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.