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Organization

OLE HEALTH

Active
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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
500B JEFFERSON BLVD # 195, WEST SACRAMENTO, CA 95605-2349
(916) 371-1966
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
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC11771F
CA
Enumeration date
03/09/2007
Last updated
10/09/2023
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