Shingletown Medical Center (SMC) was established as a non-profit 501(c)(3) organization in 1986, specifically to improve access to medical care for the rural areas of Shingletown, Viola, Manton and Mineral. Having grown from a part-time, single-provider practice sharing a community wall with the local “beer & pizza pub,” it is now a multi-provider practice in its own building and available to the community 52 hours per week. SMC was designated as a Federally Qualified Health Center (FQHC) “look-alike” in 2001, and received its first Section 330(e) Federal Grant in 2003. The 330 funding continues to support the current staffing configuration, utilization of telemedicine services and a fully operational Electronic Health Records System, and more importantly, supports SMC as a “safety-net provider” for a very large and sparsely populated geographical area located in and around Shingletown, Viola, Manton, and Mineral, California, and also includes Lassen Volcanic National Park visitors. Shingletown Medical Center is the safety net provider for a designated frontier service area with a population of roughly 11,543.