Organization
STEPHENS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST R. PARISI CEO (CEO)
(254) 559-2241
Entity
Organization
Contact information
Practice address
200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
(254) 559-2241
(254) 559-6536
Mailing address
200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
(254) 559-2241
(254) 559-6536
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C87N
BCBS
TX
01
—
00JS82
BCBS
TX
05
—
0833832-02
—
TX
05
—
1198756-01
—
TX
05
—
1198756-02
—
TX
05
—
1198756-03
—
TX
05
—
1198756-04
—
TX
01
—
HHOO92
BCBS
TX
Enumeration date
07/04/2005
Last updated
07/29/2013
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