MEDICARE: VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1881960615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 6149
Second Line	:
City	:	ALOHA
State	:	OR
Zip	:	97007-0149
Country	:	US
Telephone Number	:	503-359-4057
Fax Number	:	503-359-4756

Provider Business Practice Location Address
First Line	:	1715 NICHOLS LN
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-3216
Country	:	US
Telephone Number	:	503-359-4057
Fax Number	:	503-359-4756

Authorized Official
Title or Position	:	CORPORATE COMPLIANCE OFFICER
Name	:	ANNMARIE DENNIS
Credential	:
Telephone Number	:	503-214-1652

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	08/19/2023

Similar Medicare Providers

1457804981 — NUVIA CHAVEZ-TELLEZ LPC, LMHC
Practice Location Address:

1715 NICHOLS LN
FOREST GROVE, OR
97116-3216

Practice Phone: 503-359-4057
Practice Fax: 503-359-4756

1952040958 — VERONICA AVEDICIAN MS, LPC, NCC
Practice Location Address:

1715 NICHOLS LN
FOREST GROVE, OR
97116-3216

Practice Phone: 503-359-4057
Practice Fax: 503-359-4756

1306792627 — FOCUS EDUSOLUTIONS, INC.
Practice Location Address:

572 FOREST ST
NORTH ANDOVER, MA
01845-3216

Practice Phone: 617-838-8012
Practice Fax:

1326197211 — COTTAGE GROVE NURSING HOME, LP
Practice Location Address:

1116 FOREST AVE
JACKSON, MS
39206-3216

Practice Phone: 601-366-6461
Practice Fax: 601-362-4041

1558730283 — NATALIE HOKANSON OTR/L
Practice Location Address:

42651 FOREST BLVD
HARRIS, MN
55032-3216

Practice Phone: 651-270-1950
Practice Fax:

1154876290 — DUDDLESTON MANAGEMENT, LLC
Practice Location Address:

1116 FOREST AVE
JACKSON, MS
39206-3216

Practice Phone: 601-291-1993
Practice Fax:

Directions to “VIRGINIA GARCIA MEMORIAL HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.