Organization
WELLSPACE HEALTH
Active
Other names
Strategies for Change
Organization subpart
No
Provider details
NPI number
Authorized official
A. JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 550-5444
Entity
Organization
Contact information
Practice address
4343 WILLIAMSBOURGH DRIVE, SACRAMENTO, CA 95823-2006
(916) 395-3552
Mailing address
777 12TH STREET, SUITE 250, SACRAMENTO, CA 95814
(916) 550-5444
(916) 436-5527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
942600143
CA
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343425000
—
CA
Enumeration date
10/25/2006
Last updated
02/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us