STEPHENS MEMORIAL HOSPITAL (NPI# 1346293172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346293172 |
Entity Type | Organization |
Organization Name | STEPHENS MEMORIAL HOSPITAL |
Practice Address |
200 S Geneva St Breckenridge TX 76424-4702 |
Practice Telephone | 2545592241 |
Practice Fax Number | 2545596536 |
Mailing Telephone | 2545592241 |
Mailing Fax Number | 2545596536 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2013-09-24 |
Authorized Official Name | MR. ERNEST R PARISI (CEO) |
Authorized Official Telephone | 2545592241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 00JS82 | 01 |
TX | 083383202 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952527830 | Stephens Memorial Hospital | Psychiatric Unit | 1110 E Hullum St, Breckenridge, TX 76424-4616 | 2007-04-18 |
1831196005 | Stephens Memorial Hospital | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2005-07-04 |
1225365026 | Stephens Memorial Hospital | Clinic/Center | 203 S Geneva St, Breckenridge, TX 76424-4701 | 2009-11-16 |
1871736660 | Stephens Memorial Hospital | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2009-04-09 |
1154547032 | Stephens Memorial Hospital | Clinic/Center | 202 S Hartford St, Breckenridge, TX 76424-4713 | 2007-04-18 |
1063638948 | Stephens Memorial Hospital | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-18 |
1225253743 | Stephens Memorial Hospital | Nurse Anesthetist, Certified Registered | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-17 |
1760606339 | Stephens Memorial Hospital | Ambulance | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-12 |
1467513044 | Stephens Memorial Hospital | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-12-13 |
1093768210 | Stephens Memorial Hospital | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-18 |
Street Address |
200 S GENEVA ST |
City | BRECKENRIDGE |
State | TX |
Zip Code | 76424-4702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831196005 | Stephens Memorial Hospital | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2005-07-04 |
1235789140 | Stephens Memorial Hospital District | Clinical Medical Laboratory | 200 S Geneva St, Breckenridge, TX 76424-4799 | 2019-09-13 |
1518361369 | Stephens Memorial Hospital District | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-10-22 |
1750790762 | Concord Medical Group of Texas Pllc | Emergency Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-08-05 |
1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
1285065623 | Stephens Memorial Hospital District | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-12-11 |
1235472556 | Texas Ess Hospitalist Pa | Internal Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-04-04 |
1982980587 | Barbara Monserrat Medina-palacios | Physician Assistant | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2011-10-26 |
1063638948 | Stephens Memorial Hospital | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-18 |
1225253743 | Stephens Memorial Hospital | Nurse Anesthetist, Certified Registered | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972944833 | Clear Path Home Care LLC | In Home Supportive Care | 1515 West Walker St, Breckenridge, TX 76424 | 2013-07-08 |
1134565732 | Breckenridge Isd | Local Education Agency (LEA) | 206 North Miller St, Breckenridge, TX 76424 | 2013-05-22 |
1003063124 | Jeanene R Poston | Social Worker | 117 W Walker St., Breckenridge, TX 76424 | 2008-08-20 |
1841462033 | Bez Diagnostics | Clinic/Center | 151 Fm 207, Breckenridge, TX 76424 | 2008-03-27 |
1134249873 | Josephine Sally Kelly | Counselor | 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 | 2007-03-29 |
1780782672 | Breckenridge Family Clinic Pa | Family Medicine | 103 South Hartford Street, Breckenridge, TX 76424 | 2006-09-21 |
1083623326 | Todd Martin Pennartz | Dentist | 1905 W Walker St, Breckenridge, TX 76424 | 2006-08-05 |
1720031321 | Stephanie Elnora Stafford | Emergency Medicine | 101 South Hartford, Breckenridge Medical Clinic, Breckenridge, TX 76424 | 2006-05-18 |
1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
1912114406 | Jenifer Lynn Campbell | Physical Therapist | 201 Ridge Rd, Breckenridge, TX 76424-1901 | 2007-05-16 |
Find all providers in zip 76424 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
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1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
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1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
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City | BRECKENRIDGE |
Zip Code | 76424 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.