WELLSPACE HEALTH NPI 1215350848

NPI Information

NPI: 1215350848
Provider Name: WELLSPACE HEALTH
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D2090979

Address:
5959 GREENBACK LN STE 500
CITRUS HEIGHTS, CA
ZIP 95621
Phone: (916) 725-1177
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WELLSPACE HEALTH is a federally qualified health center (fqhc) clinic center in Citrus Heights, CA. WELLSPACE HEALTH NPI is 1215350848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5959 GREENBACK LN STE 500
CITRUS HEIGHTS, CA
ZIP 95621-700
Phone: (916) 725-1177
Fax: (916) 877-8225

The provider's authorized official is Alasdair Jonathan Porteus .
The authorized official title is Chief Executive Officer and has the following contact phone number (916) 737-5555.

The CLIA number assigned to this NPI record is 05D2090979 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 3/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	171W00000X	Contractor		No
3	251X00000X	Supports Brokerage		No
4	332U00000X	Home Delivered Meals		No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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