Active NPI
Hill Country Community Clinic
Doing business as Hill Country Rx
- Community/Retail Pharmacy
- Redding, CA
National Provider Identifier
1093453144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HILL COUNTRY COMMUNITY CLINIC
- Doing business as
- Hill Country Rx
- Practice address
- 3270 Churn Creek Road
Suite #101
Redding, CA 96002 - Phone
- (530) 232-0570
- Fax
- (530) 232-0571
- NPI assigned
- May 26, 2022
- Organization subpart
- Yes
- Parent organization
- HILL COUNTRY COMMUNITY CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jo Campbell
- Title
- Ceo
- Phone
- (530) 945-3672
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3270 Churn Creek Road
Suite #101
Redding, CA 96002
Mailing address
1620 W Northwest Hwy
Suite 100
Grapevine, TX 76051
Phone (817) 572-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2334408F | Medicaid | CA |
Other names 1
- Hill Country Rx
National Provider Directory
National Provider Directory- Tax ID family
- Hill Country Comm Clini
- Part of
- Hill Country Comm Clini
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Burney, CA
- NPI 1124955935
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1336091644
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1457844318
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1467304782
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1568338218
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1689114043
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1770435182
Locations
3270 Churn Creek Rd
Ste 101
Redding, CA 96002
Phone (530) 232-0570
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Round Mountain, CA
- NPI 1407914260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1093453144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W NORTHWEST HWY",
"address_2": "SUITE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-572-0009",
"fax_number": "817-572-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 CHURN CREEK ROAD",
"address_2": "SUITE #101",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-232-0570",
"fax_number": "530-232-0571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL COUNTRY COMMUNITY CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HILL COUNTRY COMMUNITY CLINIC",
"enumeration_date": "2022-05-26",
"last_updated": "2024-10-16",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-945-3672"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2334408F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hill Country Rx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hill Country Rx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redding, CA
- Brandi Higginbottom
- Mikayla Lynn Higgins, PMHNP
- Higher Ground Family Therapy, Inc (Higher Ground Counseling)
- Higher Ground Life Services, Inc (Higher Ground Counseling)
- Higher Ground Life Services, Inc. (Higher Ground Counseling)
- Hill Country Community Clinic
- Hill Country Community Clinic
- Hill Country Community Clinic
- Hill Country Community Clinic
- Hill Country Community Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.