Organization
BORREGO COMMUNITY HEALTH FOUNDATION
Active
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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