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CH09242AF OLE HEALTH (Approved)
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Main Details
Name
OLE HEALTH
Subdivision Name
CommuniCare+OLE Travis
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039647
340B ID
CH09242AF
Grant Number
H80CS04219
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/3/2025
Last Recertification Date
Contacts
Authorizing Official
OLE Health
Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222
Primary Contact
OLE Health
Antonio Olea, Director of Pharmacy
(619) 756-9987
Addresses
Street Address
1313 Travis Blvd, Ste A
Fairfield, CA 94533-4621
Billing Address
OLE Health
1141 Pear Tree Lane
Suite 100
Napa, CA 94558
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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