Virginia Garcia Memorial Health Center | |
2725 Sw Cedar Hills Blvd Ste 200 Beaverton OR 97005 | |
(503) 352-6000 | |
Not Available |
Full Name | Virginia Garcia Memorial Health Center |
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Speciality | Clinic/Center |
Location | 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, Oregon |
Authorized Official Name and Position | Annmarie Dennis (CORPORATE COMPLIANCE OFFICER) |
Authorized Official Contact | 5032141652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Virginia Garcia Memorial Health Center Po Box 6149 Aloha OR 97007-0149 Ph: () - | Virginia Garcia Memorial Health Center 2725 Sw Cedar Hills Blvd Ste 200 Beaverton OR 97005 Ph: (503) 352-6000 |
NPI Number | 1902067861 |
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Provider Enumeration Date | 06/23/2008 |
Last Update Date | 08/19/2023 |
Medicare PECOS PAC ID | 7113823881 |
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Medicare Enrollment ID | O20070703000748 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902067861 | NPI | - | NPPES |
023197 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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