Organization Active NPI

Hill Country Community Clinic

Doing business as Hill Country Rx

  • Community/Retail Pharmacy
  • Redding, CA
National Provider Identifier
1093453144
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2334408FMedicaidCA

Other names 1

  • Hill Country Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hill Country Comm Clini8 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.