| Hill Country Community Clinic | |
| 
					29632 Highway 299 East Round Mountain CA 96084-0228  | |
| (530) 337-5750 | |
| (530) 337-5754 | 
| Full Name | Hill Country Community Clinic | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 29632 Highway 299 East, Round Mountain, California | 
| Authorized Official Name and Position | Jo L Campbell (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 5309453642 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hill Country Community Clinic Po Box 228 Round Mountain CA 96084-0228 Ph: (530) 337-5750  | Hill Country Community Clinic 29632 Highway 299 East Round Mountain CA 96084-0228 Ph: (530) 337-5750  | 
| NPI Number | 1407914260 | 
|---|---|
| Provider Enumeration Date | 12/05/2006 | 
| Last Update Date | 10/09/2023 | 
| Medicare PECOS PAC ID | 1052442175 | 
|---|---|
| Medicare Enrollment ID | O20100706000178 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407914260 | NPI | - | NPPES | 
| FHC03894F | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 230000078 (California) | Primary |