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CH09901F BORREGO COMMUNITY HEALTH FOUNDATION (Terminated)
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Main Details
Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
CENTRO MEDICO, COACHELLA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014195
340B ID
CH09901F
Grant Number
H80CS00287
Additional Details
Current Program Status
Terminated
Registration Date
5/22/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/14/2012
Last Recertification Date
2/1/2023
Termination Date
Termination Reason
4/1/2024
Failure to recertify
Contacts
Authorizing Official
BORREGO COMMUNITY HEALTH FOUNDATION
Rose MacIsaac, CEO
(760) 767-6684
Primary Contact
Borrego Community Health Foundation - Borrego Springs, CA
Guanzhong Yao Lo, Pharmacist
(760) 507-3300
Addresses
Street Address
55497 VAN BUREN ST
THERMAL, CA 92274-9412
Billing Address
Borrego Community Health Foundation
4343 Yaqui Pass Road
Borrego Springs, CA 92004-2369
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/24/12 - Registration is a resubmission forwarded to IS for processing.
05/24/2012
June 2025
June 2025
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