Organization
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE DENNIS (CORPORATE COMPLIANCE OFFICER)
(503) 214-1652
Entity
Organization
Contact information
Practice address
44 N 11TH AVE, CORNELIUS, OR 97113-9020
(503) 359-8505
(503) 359-8535
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 359-8505
(503) 359-8535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/17/2012
Last updated
08/19/2023
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