| Organization Name: | STEPHENS MEMORIAL HOSPITAL |
| NPI Number: | 1225365026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA RAULSTON (BUSINESS OFFICE DIRECTOR) |
| Mailing Address: | 203 S Geneva St Breckenridge |
| State: | TX US |
| Postal Code: | 764244701 |
| Phone Number: | 2545592241 |
| Fax Number: | 2545592242 |
| NPI Enumeration Date: | 11/16/2009 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |