Provider Demographics
NPI:1376911636
Name:HILL COUNTRY MEDICAL MINISTRIES
Entity Type:Organization
Organization Name:HILL COUNTRY MEDICAL MINISTRIES
Other - Org Name:SAMARITAN HEALTH MINISTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-331-5828
Mailing Address - Street 1:904 CRYSTAL FALLS PKWY
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3681
Mailing Address - Country:US
Mailing Address - Phone:512-331-5828
Mailing Address - Fax:512-331-6410
Practice Address - Street 1:904 CRYSTAL FALLS PKWY
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3681
Practice Address - Country:US
Practice Address - Phone:512-331-5828
Practice Address - Fax:512-331-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health