Ole Health
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Woodland, CA
NPI 1073006607 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1073006607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- OLE HEALTH
- Practice address
- 455 1St St
Woodland, CA 95695-4023 - Phone
- (530) 405-2873
- NPI assigned
- Jun 8, 2018
- Organization subpart
- No
Authorized official
- Name
- Rose Macisaac
- Title
- Cfo
- Phone
- (760) 767-6435
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Ole Health
Locations
455 1st St
Woodland, CA 95695
Phone (530) 662-2211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CA | Yes |
Addresses
Primary practice location
455 1St St
Woodland, CA 95695-4023
Mailing address
2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2109
Other names
- CommuniCare OLE
Other providers in Woodland, CA
- Jimmy D Odusola
- Amy Oettle
- Kene P Ofili IV
- Anne Zwier Ofsink
- Ofili Okolonwamu
- Ole Health
- Ole Health
- Ole Health
- Ole Health
- Diana Sofia Olivarez
All providers in Woodland, CA · Adolescent and Children Mental Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.