Organization
OLE HEALTH
Active
Organization
OLE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MACISAAC (CHIEF FINANCIAL OFFICER)
(619) 306-2284
Entity
Organization
Contact information
Practice address
1313 TRAVIS BLVD STE A, FAIRFIELD, CA 94533-4621
(707) 254-1770
Mailing address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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