Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
Mabie San Juan Road Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS (CHIEF EXECUTIVE OFFICER)
(831) 636-2604
Entity
Organization
Contact information
Practice address
991 4TH ST, HOLLISTER, CA 95023-3643
(831) 636-2626
(831) 637-3126
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2626
(831) 636-3718
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
01/11/2024
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