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Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
HAZEL HAWKINS CONV. HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS (CHIEF FINANCIAL OFFICER)
(831) 636-2604
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5602
(831) 637-5711
(831) 637-3126
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5602
(831) 637-5711
(831) 637-3126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05462F
—
CA
Enumeration date
03/13/2007
Last updated
01/11/2024
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