HAZEL HAWKINS MEMORIAL HOSPITAL NPI 1487196408

NPI Information

NPI: 1487196408
Provider Name: HAZEL HAWKINS MEMORIAL HOSPITAL

Doing Business As: BARRAGAN FAMILY HEALTH CARE AND DIABETIC CARE CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
911 SUNSET DR
HOLLISTER, CA
ZIP 95023
Phone: (831) 636-2626
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HAZEL HAWKINS MEMORIAL HOSPITAL is a rural health clinic center in Hollister, CA. HAZEL HAWKINS MEMORIAL HOSPITAL NPI is 1487196408. The provider is registered as an organization entity type.
The provider Is Doing Business As Barragan Family Health Care And Diabetic Care Center.

The provider's business location address is:

911 SUNSET DR
HOLLISTER, CA
ZIP 95023-606
Phone: (831) 636-2626
Fax: (831) 637-3126

The provider's authorized official is Mary Casillas .
The authorized official title is Ceo and has the following contact phone number (831) 636-2604.

The CLIA number assigned to this NPI record is 05D2133706 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 1/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	070000004	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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