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Organization

WELLSPACE HEALTH

Active
Other names
WellSpace Health Sierra Gardens 2 Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 469-4690
Entity
Organization

Contact information

Practice address
151 N SUNRISE AVE STE 1309, ROSEVILLE, CA 95661-2933
(916) 737-5555
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 469-4690
(916) 313-8452

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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
332U00000X
Home Delivered Meals
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Enumeration date
11/13/2019
Last updated
02/27/2023
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