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CH0920440 HILL COUNTRY COMMUNITY CLINIC (Active)
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Main Details
Name
HILL COUNTRY COMMUNITY CLINIC
Subdivision Name
HILL COUNTRY COMMUNITY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003101
340B ID
CH0920440
Grant Number
H80CS04226
Additional Details
Current Program Status
Active
Registration Date
1/1/2002
Participating Start Date
1/1/2002
Participating Approval Date
11/22/2004
Last Recertification Date
2/23/2025
Contacts
Authorizing Official
Hill Country Community Clinic
Jo Campbell, Chief Executive Officer
(530) 337-5750
Primary Contact
Hill Country Community Clinic
Elisabeth Jane Riera, Compliance Coordinator
(530) 337-5789
Addresses
Street Address
29632 HIGHWAY 299 EAST
ROUND MOUNTAIN, CA 96084
Billing Address
HILL COUNTRY COMMUNITY CLINIC
PO BOX 228
ROUND MOUNTAIN, CA 96084
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/19/04 - REPLACES FQHCLA044 RECORD - EFFEC. 12/01/04, THIS ORGANIZATION IS A CHC; 11/22/04 - CHANGE IN CONTACT INFO
08/11/2005
April 2025
April 2025
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