| Organization Name: | HAZEL HAWKINS MEMORIAL HOSPITAL |
| NPI Number: | 1891811907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK ROBINSON (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 301 The Alameda Suite B3 San Juan Bautista |
| State: | CA US |
| Postal Code: | 950459746 |
| Phone Number: | 8316234615 |
| Fax Number: | 8316234689 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 070000004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |