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
470 CHADBOURNE RD, SUITE A, FAIRFIELD, CA 94534
(707) 254-1774
(707) 251-2988
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
—
—
Other
Enumeration date
07/22/2015
Last updated
11/15/2019
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