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CH09901G BORREGO COMMUNITY HEALTH FOUNDATION (Terminated)
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Main Details
Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
Arlanza Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010838
340B ID
CH09901G
Grant Number
H80CS00287
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/14/2012
Last Recertification Date
1/31/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
BORREGO COMMUNITY HEALTH FOUNDATION
Rose MacIsaac, CEO
(760) 767-6684
Primary Contact
Borrego Community Health Foundation
Mark Connelly, COO
(760) 767-6422
Addresses
Street Address
8856 Arlington Ave
Riverside, CA 92503-1365
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/16/12 - Reviewed and forwarded to IS for processing.
05/16/2012
June 2025
June 2025
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