| 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 |