HILL COUNTRY COMMUNITY CLINIC (NPI# 1407914260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407914260 |
| Entity Type | Organization |
| Organization Name | HILL COUNTRY COMMUNITY CLINIC |
| Other Organization Name | HILL COUNTRY HEALTH AND WELLNESS CENTER |
| Practice Address |
29632 Highway 299 East Round Mountain CA 96084-0228 |
| Mailing Address |
Po Box 228 Round Mountain CA 96084-0228 |
| Practice Telephone | 5303375750 |
| Practice Fax Number | 5303375754 |
| Mailing Telephone | 5303375750 |
| Mailing Fax Number | 5303375754 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | LYNN E. DORROH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5303375655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
230000078 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03894F | 05 |
| Other Name | Type Code |
|---|---|
| Hill Country Health and Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818990 | Hill Country Community Clinic | Clinic/Center | 2710 Eureka Way Ste 1, Redding, CA 96001-0230 | 2019-08-29 |
| 1457844318 | Hill Country Community Clinic | Clinic/Center | 1401 Gold St Ste A, Redding, CA 96001-1937 | 2018-06-14 |
| 1447791348 | Hill Country Community Clinic | Clinic/Center | 2042 Market St, Redding, CA 96001-1926 | 2017-03-13 |
| 1396285755 | Hill Country Community Clinic | Clinic/Center | 317 Lake Blvd, Suite A, Redding, CA 96003-2504 | 2017-03-06 |
| 1588104947 | Hill Country Community Clinic | Clinic/Center | 351 Northpoint Dr, Suite C, Redding, CA 96003-2502 | 2017-03-06 |
| 1689114043 | Hill Country Community Clinic | Clinic/Center | 1401 Gold St Ste B, Redding, CA 96001-1937 | 2017-03-06 |
| Street Address |
29632 HIGHWAY 299 EAST |
| City | ROUND MOUNTAIN |
| State | CA |
| Zip Code | 96084-0228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144402 | Alicia Kaylin Hopper | Dental Hygienist | 29632 Highway 299 East, Round Mountain, CA 96084 | 2019-09-25 |
| 1013474501 | Kenna Rose Tyree | Dental Hygienist | 29632 Highway 299 East, Round Mountain, CA 96084 | 2019-02-21 |
| 1609152941 | Asa Mark Calkins | Nurse Practitioner | 29632 Highway 299 East, Round Mountain, CA 96084 | 2011-11-01 |
| 1982986170 | Susan Elizabeth Foster | Nurse Practitioner | 29632 Highway 299 East, Round Mountain, CA 96084 | 2011-09-13 |
| 1306179239 | Christopher David Nelson | Dentist | 29632 Highway 299 East, Round Mountain, CA 96084 | 2009-09-10 |
| 1952444986 | Darra A. Husome | Nurse Practitioner | 29632 Highway 299 East, Round Mountain, CA 96084 | 2007-02-15 |
| 1518023894 | James L Logan | Dentist | 29632 Highway 299 East, Round Mountain, CA 96084-0228 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241574 | Lester Diaz Martinez | Dentist | 29632 Highway 299 E, Round Mountain, CA 96084 | 2018-07-02 |
| 1639446099 | Jennifer Ann Franchuk | General Practice | 29632 Hwy 299 East, Round Mountain, CA 96084 | 2011-11-29 |
| 1376731570 | Nathanial R Anderson | Physician Assistant | 29632 Hwy 299e, Round Mountain, CA 96084 | 2007-10-12 |
| 1326688409 | Gurleen Kaur Sidhu | Dentist | 29632 Hwy 299e, Round Mountain, CA 96084 | 2020-01-07 |
| 1033681077 | Hyon Knorr Shaffer | Dental Hygienist | 29632 Hwy 299 East, Round Mountain, CA 96084 | 2018-12-31 |
| 1033235692 | Tammy Allan | Social Worker | 29632 Highway 299e, Round Mountain, CA 96084-0228 | 2007-03-22 |
| 1649737131 | Kristi Michelle Hughes | Dental Hygienist | 29632 Highway 299 E, Round Mountain, CA 96084-0228 | 2019-02-21 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | ROUND MOUNTAIN |
| Zip Code | 96084 |
Please comment or provide details below to improve the information on HILL COUNTRY COMMUNITY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.