Wellspace Health | |
4441 Auburn Blvd Suite E Sacramento CA 95841-4139 | |
(916) 473-5764 | |
(916) 473-5766 |
Full Name | Wellspace Health |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4441 Auburn Blvd, Sacramento, California |
Authorized Official Name and Position | A. Jonathan Porteus (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9165505444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellspace Health 777 12th Street Suite 250 Sacramento CA 95814 Ph: (916) 550-5444 | Wellspace Health 4441 Auburn Blvd Suite E Sacramento CA 95841-4139 Ph: (916) 473-5764 |
NPI Number | 1033295084 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 02/25/2020 |
Certification Date | 02/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033295084 | NPI | - | NPPES |
343405000 | Medicaid | CA |
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