Organization · Type 2 NPI

Wellspace Health

Federally Qualified Health Center (FQHC) · Sacramento, CA

NPI number 1124257324 Active

Practice location

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817-3648

Fax (916) 731-8149

Mailing address

1820 J St
Sacramento, CA 95811-3010

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Contractor 171W00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400X030000139 (CA)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Home Delivered Meals 332U00000XNone listed
Personal Care Attendant 3747P1801XNone listed
Respite Care 385H00000XNone listed

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

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About NPI 1124257324

Wellspace Health's National Provider Identifier is 1124257324, issued on Jul 8, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 23, 2022.