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CH10123Y Virginia Garcia Memorial Health Center (Active)
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Main Details
Name
Virginia Garcia Memorial Health Center
Subdivision Name
Virginia Garcia/LifeWorks NW Beaverton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022054
340B ID
CH10123Y
Grant Number
H80CS00817
Additional Details
Current Program Status
Active
Registration Date
1/12/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/10/2022
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
10700 SW Beaverton Hillsdale Hwy Bldg 1
Beaverton, OR 97005-3035
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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