Organization · Type 2 NPI

Wellspace Health

Federally Qualified Health Center (FQHC) · Folsom, CA

NPI number 1215438676 Active

Practice location

1710 Prairie City Rd
Folsom, CA 95630-9592

Call (916) 407-2222 Map

Fax (916) 797-0340

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Contractor	171W00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Supports Brokerage Agency	251X00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Home Delivered Meals	332U00000X	None listed
Personal Care Attendant	3747P1801X	None listed
Respite Care	385H00000X	None listed

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

2 other providers at this address

NPI record

NPI: 1215438676
Entity type: Organization (Type 2)
Issued: Feb 21, 2018
Last updated: Mar 23, 2022
Status: Active

Other names

<unavail>
Wellspace Health Folsom Community Health Center · doing business as

Authorized official

Alasdair Jonathan Porteus, PhD
Chief Executive Officer
(916) 550-5424

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 1215438676

Wellspace Health's National Provider Identifier is 1215438676, issued on Feb 21, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Folsom, CA. The record was last updated on Mar 23, 2022.