STEPHENS MEMORIAL HOSPITAL (NPI# 1871736660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871736660 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL |
| Other Organization Name | BRECKENRIDGE MEDICAL CENTER |
| Practice Address |
101 S Hartford St Breckenridge TX 76424-4711 |
| Practice Telephone | 2545593363 |
| Practice Fax Number | 2545598407 |
| Mailing Telephone | 2545593363 |
| Mailing Fax Number | 2545598407 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2013-12-17 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Breckenridge Medical Center | 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 |
| 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 |
| 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 |
| 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 |
| 1467513044 | Stephens Memorial Hospital | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-12-13 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629383 | Catholic Health Initiatives Colorado | Family Medicine | 400 N Park Ave Ste 1a, Breckenridge, CO 80424-8709 | 2020-08-11 |
| 1972811008 | Catholic Health Initiatives Colorado | Family Medicine | 555 S Park Ave, Plaza II, Breckenridge, CO 80424-0000 | 2010-09-23 |
| 1376682740 | Breckenridge Medical Clinic, LLC | Family Medicine | 555 South Park Avenue, Plaza 2, Breckenridge, CO 80424 | 2007-02-05 |
| 1780782672 | Breckenridge Family Clinic Pa | Family Medicine | 103 South Hartford Street, Breckenridge, TX 76424 | 2006-09-21 |
| 1871517193 | Shari J. Fitzgerald | Family Medicine | 1790 Airport Road, #b, Breckenridge, CO 80424 | 2006-07-27 |
| 1336125962 | Vladimir K Moskver | Family Medicine | 53 Audrey Cir, Breckenridge, CO 80424-8950 | 2005-12-15 |
| 1235135369 | Randall H. Nations | Family Medicine | 400 N Park Ave, # 1-a, Breckenridge, CO 80424 | 2005-06-23 |
| 1932580909 | Melinda Michelle Cusack | Family Medicine | 302 W Chestnut St, Breckenridge, MI 48615 | 2015-06-15 |
| 1104246057 | Kelli Windsor | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2014-04-18 |
| 1184989642 | Susan Badidi | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2012-07-11 |
| Find all providers in BRECKENRIDGE | ||||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
Please comment or provide details below to improve the information on STEPHENS MEMORIAL HOSPITAL.
| 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.