Virginia Garcia Memorial Health Center Pharmacy | |
1151 N Adair St Cornelius OR 97113-8900 | |
(503) 352-8552 | |
(503) 352-8554 |
Full Name | Virginia Garcia Memorial Health Center Pharmacy |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1151 N Adair St, Cornelius, Oregon |
Authorized Official Name and Position | Christine C Hicks (PHARMACY DIRECTOR) |
Authorized Official Contact | 5033528553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Virginia Garcia Memorial Health Center Pharmacy Po Box 568 Cornelius OR 97113-0568 Ph: (503) 352-8553 | Virginia Garcia Memorial Health Center Pharmacy 1151 N Adair St Cornelius OR 97113-8900 Ph: (503) 352-8552 |
NPI Number | 1902345226 |
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Provider Enumeration Date | 02/20/2017 |
Last Update Date | 02/20/2017 |
Identifier | Type | State | Issuer |
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1902345226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | RP-0003141-CS (Oregon) | Primary |
Fred Meyer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Baseline St, Cornelius, OR 97113 Phone: 503-359-3103 Fax: 503-359-3341 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 |