WELLSPACE HEALTH NPI 1538660865

NPI Information

WELLSPACE HEALTH is a federally qualified health center (fqhc) clinic center in Roseville, CA. WELLSPACE HEALTH NPI is 1538660865. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellspace Health Sierra Gardens Community Health Center.

The provider's business location address is:

1101 SMITH LN
ROSEVILLE, CA
ZIP 95661-103
Phone: (916) 407-2222
Fax: (916) 985-4205

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) 550-5444.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 4/18/2018.

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:

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