Active NPI
Ole Health
Doing business as CommuniCare OLE
- Adolescent and Children Mental Health Clinic/Center
- Woodland, CA
National Provider Identifier
1073006607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- OLE HEALTH
- Doing business as
- CommuniCare OLE
- Practice address
- 455 1St St
Woodland, CA 95695-4023 - Phone
- (530) 405-2873
- NPI assigned
- Jun 8, 2018
- Last updated
- Oct 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Macisaac
- Title
- Cfo
- Phone
- (760) 767-6435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CA | Primary |
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 1
- CommuniCare OLE
National Provider Directory
National Provider Directory- Tax ID family
- Ole Health
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1144687955
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1275257826
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
-
dba CommuniCare Family Wellness Center - Unity Building
- Community/Behavioral Health Agency
- Woodland, CA
- NPI 1366091191
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1447687330
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1497130280
-
- Federally Qualified Health Center (FQHC)
- American Canyon, CA
- NPI 1508573379
Locations
455 1st St
Woodland, CA 95695
Phone (530) 662-2211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1073006607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 JOHN JONES RD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956169701",
"telephone_number": "530-758-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 1ST ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954023",
"telephone_number": "530-405-2873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-08",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "MACISAAC",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "760-767-6435"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CommuniCare OLE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.