Organization
OLE HEALTH
Active
Organization
OLE HEALTH
Active
Other names
OLE Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HARDY (CHIEF EXECUITVE OFFICER)
(707) 254-1774
Entity
Organization
Contact information
Practice address
1141 PEAR TREE LN, NAPA, CA 94558
(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
110000098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP11719F
CDP
CA
05
—
FHC11719F
—
CA
01
—
HAP11719F
FAMILY PACT
CA
Enumeration date
10/13/2006
Last updated
11/15/2019
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