# HAZEL HAWKINS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barragan Family Health Care and Diabetic Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487196408
- **Authorized official:** MRS. MARY CASILLAS (CEO)
- **Authorized official phone:** (831) 636-2604

## Contact information

- **Practice address:** 911 SUNSET DR, HOLLISTER, CA 95023-5606
- **Practice address phone:** (831) 636-2626
- **Practice address fax:** (831) 637-3126
- **Mailing address:** 930 SUNNYSLOPE RD STE A2, HOLLISTER, CA 95023-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 070000004 | CA | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 01/11/2024