OLE HEALTH NPI 1497130280

NPI Information

NPI: 1497130280
Provider Name: OLE HEALTH

Former Legal Business Name: COMMUNITY HEALTH CLINIC OLE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
470 CHADBOURNE RD
SUITE A
FAIRFIELD, CA
ZIP 94534
Phone: (707) 254-1774
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OLE HEALTH is a federally qualified health center (fqhc) clinic center in Fairfield, CA. OLE HEALTH NPI is 1497130280. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Health Clinic Ole.

The provider's business location address is:

470 CHADBOURNE RD
SUITE A
FAIRFIELD, CA
ZIP 94534
Phone: (707) 254-1774
Fax: (707) 251-2988

The provider's authorized official is Alicia Hardy .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 254-1774.

The enumeration date for this NPI number is 7/22/2015 and was last updated on 11/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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