WELLSPACE HEALTH NPI 1548064587

NPI Information

  • NPI: 1548064587
  • Provider Name: WELLSPACE HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 100 STONEHOUSE CT STE 100
    ROSEVILLE, CA
    ZIP 95678
  • Phone: (916) 822-8955

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NPI Details

WELLSPACE HEALTH is a federally qualified health center (fqhc) clinic center in Roseville, CA. WELLSPACE HEALTH NPI is 1548064587. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

100 STONEHOUSE CT STE 100
ROSEVILLE, CA
ZIP 95678-904
Phone: (916) 822-8955
Fax: (916) 985-4205

The provider's authorized official is Alasdair Jonathan Porteus .
The authorized official title is Chief Exceutive Officer and has the following contact phone number (916) 550-5444.

The enumeration date for this NPI number is 4/1/2025 and was last updated on 5/13/2025.

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 Number License State Primary
1261QF0400XClinic/CenterFederally 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: 11/21/2025

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