# STEPHENS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760606339
- **Authorized official:** MR. ERNEST R PARISI (CEO)
- **Authorized official phone:** (254) 559-2241

## Contact information

- **Practice address:** 200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
- **Practice address phone:** (254) 559-2241
- **Practice address fax:** (254) 559-6536
- **Mailing address:** 200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
- **Mailing address phone:** (254) 559-2241
- **Mailing address fax:** (254) 559-6536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119875601 | — | TX |
| 01 | — | HH0092 | BCBS | TX |