Organization
OLE HEALTH
Active
Organization
OLE HEALTH
Active
Other names
Community Health Clinic Ole
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HARDY (CHIEF EXECUTIVE OFFICER)
(707) 254-1774
Entity
Organization
Contact information
Practice address
1301 4TH ST, NAPA, CA 94559
(707) 254-1774
(707) 251-2988
Mailing address
1100 TRANCAS ST STE 300, NAPA, CA 94558-2921
(707) 254-1770
(707) 254-1779
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11719F
—
CA
Enumeration date
12/29/2008
Last updated
06/27/2019
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