WELLSPACE HEALTH NPI 1225550874

NPI Information

NPI: 1225550874
Provider Name: WELLSPACE HEALTH
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
11333 PROSPECT DRIVE
MARTELL, CA
ZIP 95645
Phone: (209) 268-0560
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WELLSPACE HEALTH is a federally qualified health center (fqhc) clinic center in Martell, CA. WELLSPACE HEALTH NPI is 1225550874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11333 PROSPECT DRIVE
MARTELL, CA
ZIP 95645-998
Phone: (209) 268-0560
Fax: (209) 214-6946

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) 313-8413.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 3/23/2022.

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	License State	Primary
1	171W00000X	Contractor			No
2	251C00000X	Day Training, Developmentally Disabled Services			No
3	251X00000X	Supports Brokerage			No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		No
5	332U00000X	Home Delivered Meals			No
6	3747P1801X	Technician	Personal Care Attendant		No
7	171M00000X	Case Manager/Care Coordinator			No
8	385H00000X	Respite Care			No
9	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	CALIFORNIA	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: 5/5/2024

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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