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CH10123R VIRGINIA GARCIA MEMORIAL HEALTH CENTER (Active)
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Main Details
Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
Evans Street Mental Health Integration Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014152
340B ID
CH10123R
Grant Number
H80CS00817
Additional Details
Current Program Status
Active
Registration Date
2/14/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/24/2017
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
627 Evans Street Primary Care Clinic
McMinnville, OR 97128
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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