Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health West Capitol Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALASDAIR JONATHAN PORTEUS PHD. (CHIEF EXECUTIVE OFFICER)
(916) 313-8413
Entity
Organization
Contact information
Practice address
2727 W CAPITOL AVE, WEST SACRAMENTO, CA 95691-2220
(916) 371-2275
(916) 371-8649
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 550-5481
(916) 520-3921
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/28/2019
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