Stephens Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

000430 Issued in TX

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

Jul 4, 2005

Last updated

Jul 29, 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, CEO

Title

Ceo

Phone

(254) 559-2241

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trinity Cone, PT, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Breckenridge, TX
  • NPI 1992562185
  NPD (past)
• Brianna Halford, PT, DPT, ATC

  • Physical Therapist
  • Breckenridge, TX
  • NPI 1720687379
  NPD (past)
• Laura Michelle Morales, PTA

  • Physical Therapy Assistant
  • Breckenridge, TX
  • NPI 1124678032
  NPD (past)

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1831196005",
    "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": "2005-07-04",
        "last_updated": "2013-07-29",
        "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.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C87N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198756-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198756-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HHOO92",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JS82",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0833832-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198756-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198756-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital (Stephens County Medical Clinic)
• Stephens Memorial Hospital
• Stephens Memorial Hospital (Breckenridge Medical Center)
• Stephens Memorial Hospital
• Stephens Memorial Hospital District (Stephens Memorial Hospital)
• Stephens Memorial Hospital District
• Stephens Memorial Hospital District

• General Acute Care Hospital in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.