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CH10123Q VIRGINIA GARCIA MEMORIAL HEALTH CENTER (Active)
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Main Details
Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
Virginia Garcia Beaverton School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014453
340B ID
CH10123Q
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
13000 SW 2ND ST
BEAVERTON, OR 97005-2615
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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