Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
SAN BENITO COMMUNITY HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS (CHIEF FINANCIAL OFFICER)
(831) 636-2604
Entity
Organization
Contact information
Practice address
930 SUNSET DR, HOLLISTER, CA 95023-5780
(831) 636-2664
(831) 636-2641
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5602
(831) 637-5711
(831) 637-3126
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
070000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM18512F
—
CA
Enumeration date
03/22/2007
Last updated
01/11/2024
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