NPIMap

Organization Active NPI

Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Beaverton, OR
National Provider Identifier
1376970277
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Practice address
12600 SW Crescent St
Suite 190
Beaverton, OR 97005-1693
Phone
(503) 352-2354
NPI assigned
Oct 9, 2013
Last updated
Aug 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Annmarie Dennis
Title
Corporate Compliance Officer
Phone
(503) 214-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

12600 SW Crescent St
Suite 190
Beaverton, OR 97005-1693

Mailing address

PO Box 6149
Aloha, OR 97007-0149

National Provider Directory

National Provider Directory
Tax ID family
Virginia Garcia Memoria24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

12600 SW Crescent St
Ste 190
Beaverton, OR 97005
Phone (503) 352-2354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692403200000",
    "number": "1376970277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970070149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SW CRESCENT ST",
            "address_2": "SUITE 190",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051693",
            "telephone_number": "503-352-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA GARCIA MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "503-214-1652"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.