| Ole Health | |
|
1313 Travis Blvd Ste A Fairfield CA 94533-4621 | |
| (707) 254-1770 | |
| Not Available |
| Full Name | Ole Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1313 Travis Blvd Ste A, Fairfield, California |
| Authorized Official Name and Position | Rose Macisaac (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6193062284 |
| 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 | Ole Health 1313 Travis Blvd Ste A Fairfield CA 94533-4621 Ph: (707) 254-1770 |
| NPI Number | 1245043165 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 7315934767 |
|---|---|
| Medicare Enrollment ID | O20260109002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245043165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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