Wellspace Health in Sacramento - Federally Qualified Health Center (fqhc)
Wellspace Health - NPI 1558446179
Wellspace Health is a Federally Qualified Health Center (fqhc) in Sacramento, California. Wellspace Health practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Wellspace Health is 1558446179. The last update date is 2020-02-25.
Wellspace Health's current location address is 777 12th Street, Sacramento, California. You can contact this provider via phone number 9165505444 and fax number 9164365527. The mailing address for Wellspace Health is 777 12th Street, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellspace Health |
|---|---|
| Address | 777 12th Street, Sacramento, California |
| Phone Number | 9165505444 |
| Fax Number | 9164365527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Porteus A. Jonathan |
| Credentials | PHD |
| Telephone Number | 9165505444 |
NPI Number Detail
| NPI Number | 1558446179 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-02-25 |
Provider Mailing Address Detail
| Address | 777 12th Street |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 95814 |
| Phone Number | 9165505444 |
| Fax Number | 9164365527 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 343425000 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wellspace Health by the Centers for Medicare & Medicaid Services?
The Wellspace Health has been issued the NPI (National Provider Identifier) 1558446179, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wellspace Health is physically located?
The Wellspace Health is situated at the following address: 777 12Th Street, Sacramento, CA 95814.
What is the Wellspace Health's area of specialization and corresponding taxonomy classification?
The Wellspace Health's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1558446179 to Wellspace Health?
The Centers for Medicare & Medicaid Services assigned the 1558446179 to Wellspace Health on 2006-10-25.
When was the information regarding Wellspace Health most recently updated?
The details pertaining to the Wellspace Health, including its address, specialty, and other relevant information, were last refreshed on 2020-02-25.