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
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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