Active NPI
Ole Health
Doing business as CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Woodland, CA
National Provider Identifier
1649645185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 550002588
- Legal business name
- OLE HEALTH
- Doing business as
- CommuniCare OLE
- Practice address
- 2780 E Gibson Rd
Woodland, CA 95776-5147 - Phone
- (530) 406-5133
- NPI assigned
- Dec 9, 2015
- Last updated
- Oct 9, 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 |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 550002588 | CA | Primary |
Addresses
Primary practice location
2780 E Gibson Rd
Woodland, CA 95776-5147
Mailing address
PO Box 1260
Davis, CA 95617-1260
Phone (530) 753-3498
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
- Adolescent and Children Mental Health Clinic/Center
- Woodland, CA
- NPI 1073006607
-
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
2780 E Gibson Rd
Woodland, CA 95776
Phone (530) 406-5133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1649645185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1260",
"city": "DAVIS",
"state": "CA",
"postal_code": "956171260",
"telephone_number": "530-753-3498",
"fax_number": "530-758-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 E GIBSON RD",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765147",
"telephone_number": "530-406-5133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"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": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "550002588",
"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 9, 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.