MABIE FIRST STREET HEALTHCARE CENTER
NPI 1205076536
Clinic/Center - Rural Health in Hollister, CA

Q: What is Hazel Hawkins Memorial Hospital's NPI number?

The NPI number for Hazel Hawkins Memorial Hospital is 1205076536. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is also known as Mabie First Street Healthcare Center.

Q: What is Hazel Hawkins Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 26, 2009CLIA Certified · 2 labs

321 1ST ST, HOLLISTER, CA 95023(831) 637-5711(831) 636-2668 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Nov 7, 2016 (2 updates tracked since 2016).

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About Mabie First Street Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MABIE FIRST STREET HEALTHCARE CENTER (NPI 1205076536) is a healthcare organization registered as a rural health in Hollister, California and active in the NPI registry since February 2009. The organization holds 2 active CLIA laboratory certificates and lists Mary Casillas, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1205076536

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameHAZEL HAWKINS MEMORIAL HOSPITAL

Location Address321 1ST STHollister, CA 95023-3712

Mailing Address321 1st StHollister, CA 95023-3729 · (831) 638-1652 · Fax (831) 638-1359

Phone(831) 637-5711

Fax(831) 636-2668

Organization SubpartNo

Authorized OfficialMary CasillasChief Executive Officer · (831) 635-1455

Enumeration DateFebruary 26, 2009

Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1205076536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

321 1ST ST, Hollister, CA 95023

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Other Names 1

Other NameMabie First Street Healthcare Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0063233

Hazel Hawkins Memorial Hospital-Lab · Hollister, CA

Active · expires Jan 2, 2027

CLIA Number05D0063233

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorMichael Mcginnis

Laboratory Phone(831) 637-5711

Laboratory LocationHazel Hawkins Memorial Hospital-Lab911 Sunset Drive, Hollister, CA 95023

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 05D1102484

Mabie First Street Healthcare Center · Hollister, CA

Active · expires Oct 31, 2026

CLIA Number05D1102484

Laboratory TypeRural Health Clinic

Certificate Effective DateNovember 1, 2024

Certificate Expiration DateOctober 31, 2026

Laboratory DirectorArminda Tolentino MD

Laboratory Phone(831) 638-1652

Laboratory LocationMabie First Street Healthcare Center321 First St, Hollister, CA 95023

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HONGQING ZHANG FNP

Nurse Practitioner (Family)

321 1ST ST
HOLLISTER, CA 95023

San Benito County (831) 638-1652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazel Hawkins Memorial Hospital's NPI number?

The NPI number for Hazel Hawkins Memorial Hospital is 1205076536. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is also known as Mabie First Street Healthcare Center.

Where is Hazel Hawkins Memorial Hospital located?

Hazel Hawkins Memorial Hospital is located at 321 1st St, Hollister, CA 95023. The listed phone number is (831) 637-5711.

What is Hazel Hawkins Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Hazel Hawkins Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hazel Hawkins Memorial Hospital was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.