BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1093251910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093251910 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Other Organization Name | WOLCOTT DENTAL |
| Practice Address |
590 Palm Canyon Dr. 212 Borrego Springs CA 92004-2369 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 7607675112 |
| Practice Fax Number | 7607675613 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | BRUCE HEBETS (CEO) |
| Authorized Official Telephone | 7607676433 |
| Is Organization Subpart | Y |
| Parent Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wolcott Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295311 | Borrego Community Health Foundation | Community/Behavioral Health | 1880 E Washington St Ste A, Colton, CA 92324-4621 | 2020-08-17 |
| 1558987206 | Borrego Community Health Foundation | Clinic/Center | 264 N Highland Springs Ave # 1-a1b, Banning, CA 92220-3082 | 2020-06-18 |
| 1730712183 | Borrego Community Health Foundation | Clinic/Center | 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262-4414 | 2020-02-13 |
| 1255971651 | Borrego Community Health Foundation | Clinic/Center | 7576 Sterling Ave # C7d, San Bernardino, CA 92410-4273 | 2020-01-14 |
| 1184267825 | Borrego Community Health Foundation | Clinic/Center | 1111 E Washington Ave # Abg, Escondido, CA 92025-2226 | 2019-10-25 |
| 1659824837 | Borrego Community Health Foundation | Pharmacy | 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 | 2016-07-25 |
| 1306131545 | Borrego Community Health Foundation | Clinic/Center | 8856 Arlington Avenue, Riverside, CA 92503-1365 | 2011-06-16 |
| 1023349883 | Borrego Community Health Foundation | Clinic/Center | 1151 E Washington Ave Ste C, Escondido, CA 92025-2254 | 2010-01-19 |
| 1700946969 | Borrego Community Health Foundation | Family Medicine | 2721 Washington St, Julian, CA 92036 | 2006-12-11 |
| 1649330853 | Borrego Community Health Foundation | Family Medicine | 655 Palm Canyon Dr., Ste. C, Borrego Springs, CA 92004-2369 | 2006-12-11 |
| Street Address |
590 PALM CANYON DR. 212 |
| City | BORREGO SPRINGS |
| State | CA |
| Zip Code | 92004-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821234857 | Frederick Reindel Smith | General Practice | 3324 Wagon Road, Borrego Springs, CA 92004 | 2008-12-22 |
| 1932212743 | Paul J. Califano | Podiatrist | 4343 Yaqui Pass Rd., Borrego Springs, CA 92004 | 2006-08-16 |
| 1932104841 | Borrego Springs Fire Protection District | Ambulance | 2324 Stirrup Rd, Borrego Springs, CA 92004 | 2005-06-16 |
| 1275809006 | Borrego Community Health Foundation | Clinic/Center | 590 Palm Canyon Drive, Suite 212, Borrego Springs, CA 92004 | 2012-03-27 |
| 1558549436 | Adamu Alhaji Tahiru | Physician Assistant | 4343 Yaqui Pass Road, Borrego Springs, CA 92004 | 2008-02-04 |
| 1043231715 | Pamela Thompson Mcevoy | Psychologist | 4343 Yaqui Pass Road, Borrego Springs, CA 92004-1198 | 2006-07-21 |
| 1013009497 | Ann Morton Nourse | Clinic/Center | 590 Palm Canyon Drive, Suite 203, Borrego Springs, CA 92004-2013 | 2006-09-29 |
| 1134149743 | Claudia Alise Baker-fortiner | Physical Therapist | 590 Palm Canyon Dr, Suite 203, Borrego Springs, CA 92004-2069 | 2006-07-20 |
| 1548325731 | Claudia Baker-fortiner, Pt | Clinic/Center | 590 Palm Canyon Drive, Suite #203., Borrego Springs, CA 92004-2069 | 2006-12-27 |
| 1548607328 | David M Flick | Family Medicine | 4343 Yaqui Pass Drive, Borrego Springs, CA 92004-2369 | 2013-06-03 |
| Find all providers in zip 92004 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275809006 | Borrego Community Health Foundation | Clinic/Center | 590 Palm Canyon Drive, Suite 212, Borrego Springs, CA 92004 | 2012-03-27 |
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| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | BORREGO SPRINGS |
| Zip Code | 92004 |
Please comment or provide details below to improve the information on BORREGO COMMUNITY HEALTH FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.