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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