NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
National Provider Identifier
1235265455
Registry record updated Dec 10, 2024
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
Practice address
1608 N Road 44
Pasco, WA 99301-2667
Phone
(509) 543-9280
NPI assigned
Feb 23, 2007
Organization subpart
Yes
Parent organization
YAKIMA VALLEY FARM WORKERS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Christine Trotter
Title
Ceo
Phone
(509) 865-6175

Specialties & licenses 1

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

Addresses

Primary practice location

1608 N Road 44
Pasco, WA 99301-2667

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 543-9280

Other identifiers 2

IdentifierTypeStateIssuer
204171OtherWALABOR AND INDUSTRIES
7133291MedicaidWA

Other names 1

  • Miramar Health 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…
O20101004000497 WA Part A Provider - Federally Qualified Health Center (FQHC) 4385541986 Practice locations: Pasco, WA

Federally qualified health center certification: CCN 501894

Legal name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
MIRAMAR HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 30, 2006
Last certification
Mar 30, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1978 in WA
Enrollment address
1608 N Road 44
Pasco, WA 99301-2667

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
50D2059571Yvfwc - Miramar Health Center1608 N Road 44, Pasco, WA 99301Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Milton Freewater Medica

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Gina Garcia Individual Corporate DirectorBoard Memeber Jan 1, 2023
Thomas Sak Individual Corporate Director Aug 6, 2010
Erykah Thongdy Individual Corporate DirectorBoard Memeber Jan 1, 2023
Lorenzo Cuevas Individual Corporate Director Aug 6, 2010
Pam Cleaver Individual Corporate DirectorBoard Memeber Jan 1, 2023
Brianna Nunez-Webb Individual Corporate DirectorBoard Memeber Jan 1, 2023
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 Memeber Aug 1, 2019
Martin Torres 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 Memeber Jan 1, 2014
Patricia Myers Individual Corporate Director Aug 6, 2010
Adrian Ochoa Individual Corporate DirectorBoard Memeber 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 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1235265455",
    "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": "509-543-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N ROAD 44",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012667",
            "telephone_number": "509-543-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "204171",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133291",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miramar Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.