# HAZEL HAWKINS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mabie First Street Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205076536
- **Authorized official:** MRS. MARY CASILLAS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (831) 635-1455

## Contact information

- **Practice address:** 321 1ST ST, HOLLISTER, CA 95023-3712
- **Practice address phone:** (831) 637-5711
- **Practice address fax:** (831) 636-2668
- **Mailing address:** 321 1ST ST, HOLLISTER, CA 95023-3729
- **Mailing address phone:** (831) 638-1652
- **Mailing address fax:** (831) 638-1359

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 01/11/2024