Healthcare Provider Details

I. General information

NPI: 1124955935
Provider Name (Legal Business Name): HILL COUNTRY COMMUNITY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36987 CA-299
BURNEY CA
96013
US

IV. Provider business mailing address

36987 HIGHWAY 299 E
BURNEY CA
96013-4051
US

V. Phone/Fax

Practice location:
  • Phone: 530-335-4222
  • Fax: 530-335-2192
Mailing address:
  • Phone: 530-335-4222
  • Fax: 530-335-2192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAYLA NUCKOLLS
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 530-337-5789