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CH09901AG BORREGO COMMUNITY HEALTH FOUNDATION (Terminated)
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Main Details
Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
EASTSIDE HEALTH CENTER BUILDING B
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021037
340B ID
CH09901AG
Grant Number
H80CS00287
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/16/2017
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
1971 UNIVERSITY AVENUE
RIVERSIDE, CA 92507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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