| Mabie First Street Healthcare Center | |
|
321 1st St Hollister CA 95023-3712 | |
| (831) 637-5711 | |
| (831) 636-2668 |
| Full Name | Mabie First Street Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 1st St, Hollister, California |
| Authorized Official Name and Position | Mary Casillas (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8316351455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mabie First Street Healthcare Center 321 1st St Hollister CA 95023-3729 Ph: (831) 638-1652 | Mabie First Street Healthcare Center 321 1st St Hollister CA 95023-3712 Ph: (831) 637-5711 |
| NPI Number | 1205076536 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 9133038326 |
|---|---|
| Medicare Enrollment ID | O20111031000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205076536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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