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
300 HARTLE CT., NAPA, CA 94559-4078
(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
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11719F
—
CA
Enumeration date
10/22/2010
Last updated
02/06/2020
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