Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health Folsom Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 550-5424
Entity
Organization
Contact information
Practice address
1710 PRAIRIE CITY RD, FOLSOM, CA 95630-9592
(916) 407-2222
(916) 797-0340
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 550-5444
(916) 436-5527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/21/2018
Last updated
03/23/2022
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