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CH10123X Virginia Garcia Memorial Health Center (Active)
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Main Details
Name
Virginia Garcia Memorial Health Center
Subdivision Name
VIRGINIA GARCIA MOBILE VAN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005940
340B ID
CH10123X
Grant Number
H80CS00817
Additional Details
Current Program Status
Active
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/3/2019
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 St
CORNELIUS, OR 97113-9029
Billing Address
Virginia Garcia Memorial Health Center
P.O. Box 6149
Aloha, OR 97007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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