NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
National Provider Identifier
1255877858
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
1265764-95 Issued in OR
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Practice address
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone
(503) 576-8400
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 1265764-95 OR Primary

Addresses

Primary practice location

255 Lancaster Dr NE
Salem, OR 97301-5155

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-6175

Other identifiers 2

IdentifierTypeStateIssuer
022793MedicaidOR
1256764-95OtherORBUSINESS LICENSE

Other names 1

  • LANCASTER MEDICAL AT LANCASTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040116001020 OR Part B Supplier - Clinic/Group Practice 4385541986 Receives reassigned benefits from 123 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, OR; Clatskanie, OR; Hermiston, OR; Portland, OR; Salem, OR; Woodburn, OR
O20170310001675 OR Part A Provider - Federally Qualified Health Center (FQHC) 4385541986 Practice locations: Salem, OR

Federally qualified health center certification: CCN 381971

Legal name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
LANCASTER FAMILY HEALTH CENTER AT LANCASTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 30, 2017
Last certification
Jan 30, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1978 in WA
Enrollment address
255 Lancaster Dr NE
Salem, OR 97301-5155

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

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
Sandra April Individual Corporate DirectorBoard Member Jan 1, 2007
Thomas Sak Individual Corporate DirectorBoard Member Jan 1, 1983
Jose Alberto Nunez Individual Corporate DirectorBoard Member Jan 1, 2001
Lorenzo Cuevas Individual Corporate DirectorBoard Member Jan 1, 2010
Yakima Valley Farm Workers Clinic Organization, Toppenish, WA Operational/Managerial Control Jan 9, 2017
Virginia Santillanes Individual Corporate DirectorBoard Member Jan 1, 1987
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 DirectorBoard Member Jan 1, 1997
Alfredo Aceves Individual Corporate DirectorBoard Member Jan 1, 1990
Christine Trotter Individual Corporate OfficerCeo Feb 17, 2020
W-2 Managing EmployeeCeo Jan 1, 2020
Roberto Alvizo Individual Corporate DirectorBoard Member Jan 1, 2014
Patricia Myers Individual Corporate DirectorBoard Member Jan 1, 2007
Adrian Ochoa Individual Corporate DirectorBoard Memeber May 1, 2021

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1255877858",
    "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": "509-865-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015155",
            "telephone_number": "503-576-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "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": "OR",
            "license": "1265764-95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022793",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1256764-95",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANCASTER MEDICAL AT LANCASTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.