NPIMap

Organization Active NPI

Stephens Memorial Hospital

Doing business as Stephens County Medical Clinic

  • Clinic/Center
  • Breckenridge, TX
National Provider Identifier
1467513044
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STEPHENS MEMORIAL HOSPITAL
Doing business as
Stephens County Medical Clinic
Practice address
101 S Hartford St
Breckenridge, TX 76424-4711
Phone
(254) 559-2241
Fax
(254) 559-6536
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Robert Shane Kernell
Title
Ceo
Phone
(254) 559-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

101 S Hartford St
Breckenridge, TX 76424-4711

Mailing address

101 S Hartford St
Breckenridge, TX 76424-4711
Phone (254) 559-2241

Other names 1

  • Stephens County Medical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1467513044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "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": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-2241",
            "fax_number": "254-559-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "KERNELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-559-2241"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.