Organization
STEPHENS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST R PARISI (CEO)
(254) 559-2241
Entity
Organization
Contact information
Practice address
1110 E HULLUM ST, BRECKENRIDGE, TX 76424-4616
(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
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119875604
—
TX
01
—
HH0092
BCBS
TX
Enumeration date
04/18/2007
Last updated
09/23/2013
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