STEPHENS MEMORIAL HOSPITAL DISTRICT (NPI# 1205257029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257029 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | STEPHENS MEMORIAL HOSPITAL |
| Practice Address |
200 S Geneva St Breckenridge TX 76424 |
| Mailing Address |
200 S Geneva St Breckenridge TX 76424-4702 |
| Practice Telephone | 2545592241 |
| Practice Fax Number | 2545596536 |
| Mailing Telephone | 2545592241 |
| Mailing Fax Number | 2545592436 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. MATTHEW B KEMPTON (CEO) |
| Authorized Official Telephone | 2545592241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| STEPHENS MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497172514 | Stephens Memorial Hospital District | Skilled Nursing Facility | 306 W 7th Strret Suite 430, Fort Worth, TX 76102 | 2014-03-26 |
| 1225022908 | Stephens Memorial Hospital District | Skilled Nursing Facility | 207 E Parkerville Rd, Desoto, TX 75115-6251 | 2005-09-08 |
| 1235789140 | Stephens Memorial Hospital District | Clinical Medical Laboratory | 200 S Geneva St, Breckenridge, TX 76424-4799 | 2019-09-13 |
| 1952709131 | Stephens Memorial Hospital District | Skilled Nursing Facility | 820 Small St, Grand Prairie, TX 75050-5856 | 2014-12-19 |
| 1518361369 | Stephens Memorial Hospital District | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-10-22 |
| 1831593029 | Stephens Memorial Hospital District | Skilled Nursing Facility | 224 E 6th St, Baird, TX 79504-3606 | 2014-10-16 |
| 1215358031 | Stephens Memorial Hospital District | Psychiatric Unit | 1110 E Hullum St, Breckenridge, TX 76424-4616 | 2013-12-20 |
| 1336560382 | Stephens Memorial Hospital District | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2013-12-18 |
| 1285065623 | Stephens Memorial Hospital District | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-12-11 |
| 1003246919 | Stephens Memorial Hospital District | Skilled Nursing Facility | 230 S Clark Rd, Cedar Hill, TX 75104-2750 | 2013-11-14 |
| Street Address |
200 S GENEVA ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip Code | 76424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196005 | Stephens Memorial Hospital | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2005-07-04 |
| 1235789140 | Stephens Memorial Hospital District | Clinical Medical Laboratory | 200 S Geneva St, Breckenridge, TX 76424-4799 | 2019-09-13 |
| 1518361369 | Stephens Memorial Hospital District | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-10-22 |
| 1750790762 | Concord Medical Group of Texas Pllc | Emergency Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-08-05 |
| 1285065623 | Stephens Memorial Hospital District | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-12-11 |
| 1235472556 | Texas Ess Hospitalist Pa | Internal Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-04-04 |
| 1982980587 | Barbara Monserrat Medina-palacios | Physician Assistant | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2011-10-26 |
| 1063638948 | Stephens Memorial Hospital | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-18 |
| 1225253743 | Stephens Memorial Hospital | Nurse Anesthetist, Certified Registered | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-17 |
| 1760606339 | Stephens Memorial Hospital | Ambulance | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944833 | Clear Path Home Care LLC | In Home Supportive Care | 1515 West Walker St, Breckenridge, TX 76424 | 2013-07-08 |
| 1134565732 | Breckenridge Isd | Local Education Agency (LEA) | 206 North Miller St, Breckenridge, TX 76424 | 2013-05-22 |
| 1003063124 | Jeanene R Poston | Social Worker | 117 W Walker St., Breckenridge, TX 76424 | 2008-08-20 |
| 1841462033 | Bez Diagnostics | Clinic/Center | 151 Fm 207, Breckenridge, TX 76424 | 2008-03-27 |
| 1134249873 | Josephine Sally Kelly | Counselor | 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 | 2007-03-29 |
| 1780782672 | Breckenridge Family Clinic Pa | Family Medicine | 103 South Hartford Street, Breckenridge, TX 76424 | 2006-09-21 |
| 1083623326 | Todd Martin Pennartz | Dentist | 1905 W Walker St, Breckenridge, TX 76424 | 2006-08-05 |
| 1720031321 | Stephanie Elnora Stafford | Emergency Medicine | 101 South Hartford, Breckenridge Medical Clinic, Breckenridge, TX 76424 | 2006-05-18 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| 1912114406 | Jenifer Lynn Campbell | Physical Therapist | 201 Ridge Rd, Breckenridge, TX 76424-1901 | 2007-05-16 |
| Find all providers in zip 76424 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768210 | Stephens Memorial Hospital | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508214222 | Trinity Diagnostic Clinic, P.a | Medicare Defined Swing Bed Unit | 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 | 2016-06-03 |
| 1710224647 | Caroline Chioma Ukachukwu | Medicare Defined Swing Bed Unit | 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 | 2013-01-11 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1447574819 | Frio Hospital Association | Medicare Defined Swing Bed Unit | 200 S Ih 35, Pearsall, TX 78061-6601 | 2010-03-15 |
| 1952567588 | Preferred Hospital Leasing Junction, Inc | Medicare Defined Swing Bed Unit | 349 Reid Rd, Junction, TX 76849-3049 | 2008-08-04 |
| 1699939421 | Preferred Hospital Leasing Hemphill, Inc. | Medicare Defined Swing Bed Unit | 2301 State Highway 83w, Hemphill, TX 75948-0750 | 2008-07-10 |
| 1801087630 | Mitchell County Hospital District | Medicare Defined Swing Bed Unit | 997 West I-20, Colorado City, TX 79512 | 2007-08-07 |
| 1023138781 | Throckmorton County Memorial Hosp | Medicare Defined Swing Bed Unit | 802 N. Minter Ave., Throckmorton, TX 76483-5357 | 2007-03-29 |
| 1093839839 | Muenster Hospital District | Medicare Defined Swing Bed Unit | 605 N Maple, Muesnter, TX 76252-2424 | 2007-03-19 |
| 1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.