Organization · Type 2 NPI
Wellspace Health
Federally Qualified Health Center (FQHC) · Martell, CA
NPI number
1225550874
Active
Practice location
11333 Prospect Drive
Martell, CA 95645-9998
Fax (209) 214-6946
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...
About NPI 1225550874
Wellspace Health's National Provider Identifier is 1225550874, issued on Jul 14, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Martell, CA. The record was last updated on Mar 23, 2022.