Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health Florin Community Health Center
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
4241 FLORIN RD STE 30, SACRAMENTO, CA 95823-2535
(916) 391-2229
(916) 391-2291
Mailing address
777 12TH ST STE 250, SACRAMENTO, CA 95814-1929
(916) 550-5481
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
03/08/2019
Last updated
03/23/2022
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