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CH10123G VIRGINIA GARCIA MEMORIAL HEALTH CENTER (Active)
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Main Details
Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
VIRGINIA GARCIA BEAVERTON WELLNESS CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018305
340B ID
CH10123G
Grant Number
H80CS00817
Additional Details
Current Program Status
Active
Registration Date
12/6/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/7/2006
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
2725 SW CEDAR HILLS BLVD
Suite 200
BEAVERTON, OR 97005-1344
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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2/6/07 - ADDED MEDICAID # (WAS PENDING)
02/06/2007
April 2025
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