| NPI | 1295293330 |
|---|---|
| Other Name | WELLSPACE HEALTH WEST CAPITOL COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-313-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-28 |