| Ole Health | |
|
1101 B Gale Wilson Blvd Ste 101c Fairfield CA 94533-3771 | |
| (707) 254-1770 | |
| Not Available |
| Full Name | Ole Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 B Gale Wilson Blvd Ste 101c, Fairfield, California |
| Authorized Official Name and Position | Alicia Hardy (EXECUTIVE CHIEF OFFICER) |
| Authorized Official Contact | 7072541774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ole Health 1141 Pear Tree Ln Ste 100 Napa CA 94558-6485 Ph: (707) 254-1770 | Ole Health 1101 B Gale Wilson Blvd Ste 101c Fairfield CA 94533-3771 Ph: (707) 254-1770 |
| NPI Number | 1316429558 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 11/15/2019 |
| Medicare PECOS PAC ID | 7315934767 |
|---|---|
| Medicare Enrollment ID | O20200421001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316429558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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