Provider Type Icon

HAZEL HAWKINS MEMORIAL HOSPITAL NPI 1891446761


NPI Information

NPI: 1891446761
Provider Name: HAZEL HAWKINS MEMORIAL HOSPITAL

Doing Business As: SAN BENITO HOSPITAL DISTRICT

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 05D1003572

Address:
911 SUNSET DR
HOLLISTER, CA
ZIP 95023
Phone: (831) 637-5711
Get Directions

HAZEL HAWKINS MEMORIAL HOSPITAL is a medicare defined swing bed unit in Hollister, CA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. HAZEL HAWKINS MEMORIAL HOSPITAL NPI is 1891446761. The provider is registered as an organization entity type.
The provider Is Doing Business As San Benito Hospital District.

The provider's business location address is:

911 SUNSET DR
HOLLISTER, CA
ZIP 95023-606
Phone: (831) 637-5711
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 05D1003572 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2022 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
1275N00000XMedicare Defined Swing Bed UnitYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.