340B Drug Pricing Program Database
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CHC12872-21 WellSpace Health (Terminated)
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Main Details
Name
WellSpace Health
Subdivision Name
WellSpace Health - Professional Health Center for Women
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021229
340B ID
CHC12872-21
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
2/6/2019
Termination Date
Termination Reason
7/1/2019
Business decision by the Covered Entity
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
4150 Truxel Road, Suite C
Sacramento, CA 95834
Billing Address
WellSpace Health
777 12th Street, Suite 250
Sacramento, CA 95814
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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