Hill Country Health And Wellness Center | |
29632 Highway 299 East Round Mountain CA 96084-0228 | |
(530) 337-5750 | |
(530) 337-5754 |
Full Name | Hill Country Health And Wellness Center |
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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 |
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Hill Country Health And Wellness Center Po Box 228 Round Mountain CA 96084-0228 Ph: (530) 337-5750 | Hill Country Health And Wellness Center 29632 Highway 299 East Round Mountain CA 96084-0228 Ph: (530) 337-5750 |
NPI Number | 1407914260 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 10/09/2023 |
Medicare PECOS PAC ID | 1052442175 |
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Medicare Enrollment ID | O20100706000178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407914260 | NPI | - | NPPES |
FHC03894F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 230000078 (California) | Primary |