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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