Organization
WELLSPACE HEALTH
Active
Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health Roseville Women and Children's Community Health Cente
Organization subpart
No
Provider details
NPI number
Authorized official
ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 313-9413
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE STE 1309, ROSEVILLE, CA 95661-2933
(916) 469-4698
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 469-4698
(916) 313-8490
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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