Organization
HILL COUNTRY COMMUNITY CLINIC
Active
Other names
Hill Country Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JO L CAMPBELL (CHIEF EXECUTIVE OFFICER)
(530) 945-3642
Entity
Organization
Contact information
Practice address
29632 HIGHWAY 299 EAST, ROUND MOUNTAIN, CA 96084-0228
(530) 337-5750
(530) 337-5754
Mailing address
PO BOX 228, ROUND MOUNTAIN, CA 96084-0228
(530) 337-5750
(530) 337-5754
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
230000078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03894F
—
CA
Enumeration date
12/05/2006
Last updated
10/09/2023
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