WELLSPACE HEALTH NPI 1811455819

NPI Information

NPI: 1811455819
Provider Name: WELLSPACE HEALTH

Other Name: WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3441 MARYSVILLE BLVD
SACRAMENTO, CA
ZIP 95838
Phone: (916) 563-7200
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WELLSPACE HEALTH is a federally qualified health center (fqhc) clinic center in Sacramento, CA. WELLSPACE HEALTH NPI is 1811455819. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellspace Health Del Paso Heights Community Health Center.

The provider's business location address is:

3441 MARYSVILLE BLVD
SACRAMENTO, CA
ZIP 95838-512
Phone: (916) 563-7200
Fax: (916) 563-7220

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 CLIA number assigned to this NPI record is 05D0937737 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	171W00000X	Contractor		No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	251X00000X	Supports Brokerage		No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
6	332U00000X	Home Delivered Meals		No
7	3747P1801X	Technician	Personal Care Attendant	No
8	385H00000X	Respite Care		No
9	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: 4/28/2024

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