Organization
STEPHENS MEMORIAL HOSPITAL
Active
Parent organization
STEPHENS MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHENS MEMORIAL HOSPITAL
Authorized official
BRENDA RAULSTON (BUSINESS OFFICE DIRECTOR)
(254) 559-2241
Entity
Organization
Contact information
Practice address
203 S GENEVA ST, BRECKENRIDGE, TX 76424-4701
(254) 559-2241
(254) 559-2242
Mailing address
200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
(254) 559-2241
(254) 559-2242
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119875604
—
TX
01
—
HH0092
BCBS
TX
Enumeration date
11/16/2009
Last updated
07/21/2022
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