Organization
OLE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HARDY (EXECUTIVE CHIEF OFFICER)
(707) 254-1774
Entity
Organization
Contact information
Practice address
1101 B GALE WILSON BLVD STE 101C, FAIRFIELD, CA 94533-3771
(707) 254-1770
Mailing address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485
(707) 254-1770
(707) 254-1779
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
09/04/2018
Last updated
11/15/2019
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