| Wellspace Health | |
|
216 N Lincoln Way Ste 10 Galt CA 95632-1715 | |
| (209) 259-2090 | |
| (209) 259-3008 |
| Full Name | Wellspace Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 216 N Lincoln Way Ste 10, Galt, California |
| Authorized Official Name and Position | Alasdair Jonathan Porteus (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9165505444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspace Health 1500 Expo Pkwy Sacramento CA 95815-4227 Ph: (916) 469-4705 | Wellspace Health 216 N Lincoln Way Ste 10 Galt CA 95632-1715 Ph: (209) 259-2090 |
| NPI Number | 1669982237 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669982237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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