NPIMap

Organization Active NPI

Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
National Provider Identifier
1801223797
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OLE HEALTH
Practice address
780 Lincoln Ave
Napa, CA 94558
Phone
(707) 254-1774
Fax
(707) 251-2988
NPI assigned
Oct 9, 2013
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Alicia HardyNPI 1194908475
Title
Chief Executive Officer
Phone
(707) 254-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

780 Lincoln Ave
Napa, CA 94558

Mailing address

1100 Trancas St
Suite 300
Napa, CA 94558-2900
Phone (707) 254-1770

Other names 1

  • Community Health Clinic Ole Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801223797. Details of each certification follow.

  • CCN 751040 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 751040

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY HEALTH CLINIC OLE-VOICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 23, 2014
Last certification
Jan 23, 2014
Ownership / control type
Non-profit – church related
Facility address
780 Lincoln Ave
Napa, CA 94558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1801223797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST",
            "address_2": "SUITE 300",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582900",
            "telephone_number": "707-254-1770",
            "fax_number": "707-254-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LINCOLN AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-254-1774",
            "fax_number": "707-251-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-254-1774",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Clinic Ole",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Community Health Clinic Ole",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.