Organization
OLE HEALTH
Active
Other names
CommuniCare OLE
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MACISAAC (CFO)
(760) 767-6435
Entity
Organization
Contact information
Practice address
1717 5TH ST, DAVIS, CA 95616-3945
(530) 758-0354
Mailing address
PO BOX 1260, DAVIS, CA 95617-1260
(530) 753-3498
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
10/17/2023
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