Organization Active NPI

Ole Health

Doing business as CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • Woodland, CA
National Provider Identifier
1972721793
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OLE HEALTH
Doing business as
CommuniCare OLE
Hansen Family Health Center
Practice address
215 West Beamer St.
Woodland, CA 95695
Phone
(530) 753-3498
NPI assigned
Apr 24, 2007
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

215 West Beamer St.
Woodland, CA 95695

Mailing address

215 West Beamer St.
Woodland, CA 95695
Phone (530) 753-3498

Other identifiers 1

IdentifierTypeStateIssuer
FHC11771FMedicaidCA

Other names 2

  • CommuniCare OLE Doing business as
  • Hansen Family Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ole Health22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

215 W Beamer St
Woodland, CA 95695
Phone (530) 405-2800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1972721793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST BEAMER ST.",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-753-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST BEAMER ST.",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-753-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11771F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniCare OLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hansen Family Health Center",
            "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.

Verify at the official NPI Registry.