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CHC12872-01 WellSpace Health (Active)
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Main Details
Name
WellSpace Health
Subdivision Name
South Valley Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008361
340B ID
CHC12872-01
Grant Number
H80CS12872
Additional Details
Current Program Status
Active
Registration Date
4/5/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/6/2018
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
WellSpace Health
Alasdair Jonathan Porteus, CEO
(916) 550-5444
Primary Contact
WellSpace Health
Reggie Singh, 340B Primary Contact
(530) 680-8068
Addresses
Street Address
8233 East Stockton Blvd
Suite D
Sacramento, CA 95828-8203
Billing Address
WellSpace Health
1500 Expo Parkway
Sacramento, CA 95815
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating 10/1/2009 until terminated effective 4/1/2018, reinstated effective 7/1/2018.
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