# HAZEL HAWKINS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazel Hawkins primary Care & Surgical Specialty Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013628353
- **Authorized official:** MARY CASILLAS (CEO)
- **Authorized official phone:** (831) 635-1455

## Contact information

- **Practice address:** 930 SUNSET DR BUILDING 1 STE C, HOLLISTER, CA 95023-5620
- **Practice address phone:** (831) 630-1019
- **Practice address fax:** (831) 630-0691
- **Mailing address:** 911 SUNSET DR, HOLLISTER, CA 95023-5606
- **Mailing address phone:** (831) 636-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2022
- **Last updated:** 02/12/2024