Organization · Type 2 NPI

Wellspace Health

Federally Qualified Health Center (FQHC) · Roseville, CA

NPI number 1063063600 Active

Practice location

151 N Sunrise Ave Ste 1309
Roseville, CA 95661-2933

Call (916) 469-4698 Map

Mailing address

777 12th St Ste 250
Sacramento, CA 95814-1929

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Wellspace HealthFederally Qualified Health Center (FQHC) Roseville, CA NPI 1376188417
Rhonette Estelle Jackson, MDPediatrics Physician Roseville, CA NPI 1235352220
Tajsier Hughes, PMHNP, FNPPsychiatric/Mental Health Nurse Practitioner Roseville, CA NPI 1093320715
Ursula K. Hempstead, MDPediatrics Physician Roseville, CA NPI 1134291966

Other federally qualified health center (fqhc) providers in Roseville

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NPI record

NPI: 1063063600
Entity type: Organization (Type 2)
Issued: Sep 25, 2019
Last updated: Sep 25, 2019
Status: Active

Other names

Wellspace Health Roseville Women and Children's Community Health Cente · doing business as

Authorized official

Alasdair Jonathan Porteus PHD
Chief Executive Officer
(916) 313-9413

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063063600

Wellspace Health's National Provider Identifier is 1063063600, issued on Sep 25, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Roseville, CA. The record was last updated on Sep 25, 2019.