Organization
BORREGO COMMUNITY HEALTH FOUNDATION
Active
Other names
Woolcott Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DOUGLAS DEW (DIRECTOR OF MANAGED CARE OPERATIONS)
(619) 344-2815
Entity
Organization
Contact information
Practice address
590 PALM CANYON DRIVE, SUITE 212, BORREGO SPRINGS, CA 92004
(760) 767-5112
(760) 767-5613
Mailing address
PO BOX 2369, BORREGO SPRINGS, CA 92004-2369
(760) 767-5051
(760) 767-4552
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
02/19/2013
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