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CH09901AD BORREGO COMMUNITY HEALTH FOUNDATION (Terminated)
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Main Details
Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
STONEWALL MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019056
340B ID
CH09901AD
Grant Number
H80CS00287
Additional Details
Current Program Status
Terminated
Registration Date
2/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
Last Recertification Date
2/14/2023
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
68555 RAMON ROAD
CATHEDRAL CITY, CA 92234-3310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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