Borrego Community Health Foundation

LBN: Borrego Community Health Foundation
Borrego Community Health Foundation is an health care organization with primary practice located at 31739 Riverside Dr Ste A1 , Lake Elsinore CA 92530-7818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Borrego Community Health Foundation can be contacted via phone (619) 873-3538, or through Wallis, Mikia Brayton via phone (760) 767-6641.

Contact Information

Primary practice address
31739 Riverside Dr Ste A1 Lake Elsinore CA 92530-7818
Phone: (619) 873-3538
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallis, Mikia Brayton
Phone: (760) 767-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1558925016
LBN Legal business name Borrego Community Health Foundation
DBA Doing business as
Authorized official Wallis, Mikia Brayton
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2019
Last updated Apr 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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