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CH099010 BORREGO COMMUNITY HEALTH FOUNDATION (Terminated)
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Main Details
Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
BORREGO COMMUNITY HEALTH FOUNDATION
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000521
340B ID
CH099010
Grant Number
H80CS00287
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
9/2/2003
Last Recertification Date
2/13/2023
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
4343 YAQUI PASS ROAD
BORREGO SPRINGS, CA 92004-2369
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/20/07 - OPA NOTIFIED THAT CONTRACT PHARMACY ARRANGEMENT WAS TERMINATED 12/12/06 AND ENTITY OPENED IN-HOUSE PHARMACY; 1/28/08 UPDATED SHIPPING ADDRESS
01/28/2008
May 2025
May 2025
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