Organization Name: | STEPHENS MEMORIAL HOSPITAL |
NPI Number: | 1154547032 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERNEST R PARISI (CEO) |
Mailing Address: | 202 S Hartford St Breckenridge |
State: | TX US |
Postal Code: | 764244713 |
Phone Number: | 2545592241 |
Fax Number: | 2545596536 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |