Stephens Memorial Hospital

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STEPHENS MEMORIAL HOSPITAL

Practice address

202 S Hartford St
Breckenridge, TX 76424-4713

Phone

(254) 559-2241

Fax

(254) 559-6536

NPI assigned

Apr 18, 2007

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

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": "1154547032",
    "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": "202 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244713",
            "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0092",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119875604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Health - Villa Haven, LLC
• Shackelford County Community Resource Center
• Kerry G. Snow, D.M.D.
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital

• All providers in Breckenridge, TX
• Physical Therapy 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.