STEPHENS MEMORIAL HOSPITAL (NPI# 1467513044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467513044 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL |
| Other Organization Name | STEPHENS COUNTY MEDICAL CLINIC |
| Practice Address |
101 S Hartford St Breckenridge TX 76424-4711 |
| Practice Telephone | 2545592241 |
| Practice Fax Number | 2545596536 |
| Mailing Telephone | 2545592241 |
| Mailing Fax Number | 2545596536 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | ROBERT SHANE KERNELL (CEO) |
| Authorized Official Telephone | 2545592241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stephens County Medical Clinic | Doing Business As Name - Organization |
| 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 |
| 1346293172 | Stephens Memorial Hospital | Emergency Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-19 |
| 1093768210 | Stephens Memorial Hospital | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-18 |
| Street Address |
101 S HARTFORD ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip Code | 76424-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033166616 | Larry Len Maples | Emergency Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-05-28 |
| 1104246057 | Kelli Windsor | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2014-04-18 |
| 1336560382 | Stephens Memorial Hospital District | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2013-12-18 |
| 1184989642 | Susan Badidi | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2012-07-11 |
| 1871736660 | Stephens Memorial Hospital | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2009-04-09 |
| 1669648036 | Rebecca Lynn Mcintire | Nurse Practitioner | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2008-05-05 |
| 1164611943 | Matthew Proctor Md Pa | Family Medicine | 101 S Hartford St, Suite B, Breckenridge, TX 76424-4711 | 2007-10-17 |
| 1700956539 | William Elmo Prater | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-11-09 |
| 1467563155 | Joe E Mikeska Jr. | General Practice | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-08-31 |
| 1619919081 | Rachael Kendra Dabelic, M.d. P.a. | Family Medicine | 101 S Hartford St, Suite A, Breckenridge, TX 76424-4711 | 2006-06-12 |
| Find all providers in the same location | ||||
| 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 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| Find all providers in zip 76424 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1841462033 | Bez Diagnostics | Clinic/Center | 151 Fm 207, Breckenridge, TX 76424 | 2008-03-27 |
| 1790182277 | Ambika Therapies LLC | Clinic/Center | 435 North Park Ave., 2c, Breckenridge, CO 80424 | 2014-11-26 |
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| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| 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.