MEDICARE: HILL CENTER FOR INTEGRATIVE MEDICINE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC0181070	CA

General Provider Information

NPI Number	:	1568569192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL CENTER FOR INTEGRATIVE MEDICINE INC

Provider Business Mailing Address
First Line	:	3609 OAKDALE RD
Second Line	:	SUITE 5
City	:	MODESTO
State	:	CA
Zip	:	95357-0718
Country	:	US
Telephone Number	:	209-551-8888
Fax Number	:	209-551-0412

Provider Business Practice Location Address
First Line	:	3609 OAKDALE RD
Second Line	:	SUITE 5
City	:	MODESTO
State	:	CA
Zip	:	95357-0718
Country	:	US
Telephone Number	:	209-551-8888
Fax Number	:	209-551-0412

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRENT A HILL
Credential	:	D.C.
Telephone Number	:	209-551-8888

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	06/19/2015

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