| Ole Health | |
|
215 W Beamer St Woodland CA 95695-2510 | |
| (530) 666-8960 | |
| (530) 666-8527 |
| Full Name | Ole Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 W Beamer St, Woodland, California |
| Authorized Official Name and Position | Rose Macisaac (CFO) |
| Authorized Official Contact | 7607676435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ole Health Po Box 1260 Davis CA 95617-1260 Ph: (530) 753-3498 | Ole Health 215 W Beamer St Woodland CA 95695-2510 Ph: (530) 666-8960 |
| NPI Number | 1558469064 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 7315934767 |
|---|---|
| Medicare Enrollment ID | O20240117000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558469064 | NPI | - | NPPES |
| FHC70985F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000770 (California) | Primary |
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