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CH101230 VIRGINIA GARCIA MEMORIAL HEALTH CENTER (Active)
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Main Details
Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER - Cornelius
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000991
340B ID
CH101230
Grant Number
H80CS00817
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
6/17/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Virginia Garcia Memorial Health Center
Gil Munoz, CEO
(503) 214-1600
Primary Contact
Virginia Garcia Memorial Health Center
April M. Etheridge-Bosworth, Director of Pharmacy
(205) 873-0089
Addresses
Street Address
1151 N Adair Street
Cornelius, OR 97113-9029
Billing Address
Virginia Garcia Memorial Health Center
PO Box 6149
Aloha, OR 97007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADD PHARMACY ADDRESS / MED#, 2/14/2006 - MOVED PHARMACY ADDRESS TO SHIP TO FIELD
02/14/2006
April 2025
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