Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health South Valley 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 550-5444
Entity
Organization
Contact information
Practice address
8243EAST STOCKTON BLVD, SUITE A, SACRAMENTO, CA 95828
(916) 737-5555
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 469-4690
(916) 880-5552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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