Stephens Memorial Hospital

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STEPHENS MEMORIAL HOSPITAL

Practice address

200 S Geneva St
Breckenridge, TX 76424-4702

Phone

(254) 559-2241

Fax

(254) 559-6536

NPI assigned

Apr 18, 2007

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ernest R Parisi

Title

Ceo

Phone

(254) 559-2241

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3649/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1063638948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S GENEVA ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244702",
            "telephone_number": "254-559-2241",
            "fax_number": "254-559-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S GENEVA ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244702",
            "telephone_number": "254-559-2241",
            "fax_number": "254-559-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-559-2241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198705602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0092",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Elmo Prater, M.D.
• Rachael Kendra Dabelic, M.D. P.a.
• Senior Health - Villa Haven, LLC
• Shackelford County Community Resource Center (ResourceCare Breckenridge)
• Kerry G. Snow, D.M.D.
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital

• Ambulatory Surgical Clinic/Center in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.