| Communicare Ole | |
|
500 B Jefferson Blvd #180 West Sacramento CA 95605 | |
| (916) 375-6400 | |
| (916) 375-6413 |
| Full Name | Communicare Ole |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 B Jefferson Blvd, West Sacramento, 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 |
|---|---|
| Communicare Ole Po Box 1260 Davis CA 95617-1260 Ph: (530) 753-3498 | Communicare Ole 500 B Jefferson Blvd #180 West Sacramento CA 95605 Ph: (916) 375-6400 |
| NPI Number | 1710087515 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 7315934767 |
|---|---|
| Medicare Enrollment ID | O20240116004191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710087515 | NPI | - | NPPES |
| FHC70983F | Medicaid | CA | |
| ZZZ26460Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000771 (California) | Primary |
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