Organization
OLE HEALTH
Active
Other names
Hansen Family Health Center, CommuniCare OLE
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MACISAAC (CFO)
(760) 767-6435
Entity
Organization
Contact information
Practice address
215 WEST BEAMER ST., WOODLAND, CA 95695
(530) 753-3498
Mailing address
215 WEST BEAMER ST., WOODLAND, CA 95695
(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
04/24/2007
Last updated
10/09/2023
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