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CHC12872-03 WellSpace Health (Terminated)
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Main Details
Name
WellSpace Health
Subdivision Name
Salvation Army - Interim Care Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008363
340B ID
CHC12872-03
Grant Number
H80CS12872
Additional Details
Current Program Status
Terminated
Registration Date
9/14/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/18/2009
Last Recertification Date
2/20/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
WellSpace Health
Alasdair Jonathan Porteus, CEO
(916) 550-5444
Primary Contact
WellSpace Health
Alasdair Jonathan Porteus, CEO
(916) 550-5444
Addresses
Street Address
1200 North B Street
Sacramento, CA 95811-0603
Billing Address
THE EFFORT
1820 J STREET
SACRAMENTO, CA 95811
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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