| Wellspace Health | |
|
151 N Sunrise Ave Ste 1309 Roseville CA 95661-2933 | |
| (916) 469-4698 | |
| Not Available |
| Full Name | Wellspace Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 151 N Sunrise Ave Ste 1309, Roseville, California |
| Authorized Official Name and Position | Alasdair Jonathan Porteus Phd (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9163139413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspace Health 777 12th St Ste 250 Sacramento CA 95814-1929 Ph: (916) 469-4698 | Wellspace Health 151 N Sunrise Ave Ste 1309 Roseville CA 95661-2933 Ph: (916) 469-4698 |
| NPI Number | 1063063600 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063063600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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