# STEPHENS MEMORIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage at Turner Park Health & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952709131
- **Authorized official:** RONALD R PAYNE (MANAGER)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 820 SMALL ST, GRAND PRAIRIE, TX 75050-5856
- **Practice address phone:** (972) 262-1351
- **Practice address fax:** (972) 642-8056
- **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 |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2014
- **Last updated:** 08/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005188 | — | TX |