This page does not monitor or respond to comments or direct private messages. This clinic is the Nation’s largest non-hospital clinic in the Indian Health Service. This facility opened November 5, 1990 at a construction cost of $6.5 million and was designed to serve 11,000 patients. Presently, there are 21,106 registered patients representing 105 tribes. The origins of this facility date to the Tr
eaty of June 9, 1855, where in return for land, Indian residents of the Yakama Nation were guaranteed medical care and treatment. In May 1859, Fort Simcoe was established west of Toppen*sh and included a hospital.