Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 550-5444
Entity
Organization
Contact information
Practice address
7501 HOSPITAL DR STE 204, SACRAMENTO, CA 95823-5405
(916) 737-5555
(916) 689-8943
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 737-5555
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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