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CHC12872-20 WellSpace Health (Terminated)
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Main Details
Name
WellSpace Health
Subdivision Name
WellSpace Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021361
340B ID
CHC12872-20
Grant Number
H80CS12872
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/10/2018
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
4/1/2024
Site closure
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
777 12th Street, Suite 250
Sacramento, CA 95814-1929
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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