Organization Name: | BORREGO COMMUNITY HEALTH FOUNDATION |
NPI Number: | 1023349883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE HEBETS (CEO) |
Mailing Address: | 1151 E Washington Ave Ste C Escondido |
State: | CA US |
Postal Code: | 920252254 |
Phone Number: | 7608710606 |
Fax Number: | 7608713534 |
NPI Enumeration Date: | 01/19/2010 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |