STEPHENS MEMORIAL HOSPITAL DISTRICT (NPI# 1336560382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336560382 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | BRECKENRIDGE MEDICAL CENTER |
| Practice Address |
101 S Hartford St Breckenridge TX 76424-4711 |
| Practice Telephone | 2545593363 |
| Practice Fax Number | 2545592572 |
| Mailing Telephone | 2545593363 |
| Mailing Fax Number | 2545592572 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | MS. JANA L EARNEST (CLINIC DIRECTOR) |
| Authorized Official Telephone | 2545593363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BRECKENRIDGE MEDICAL CENTER | 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 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 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 |
101 S HARTFORD ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip Code | 76424-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033166616 | Larry Len Maples | Emergency Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-05-28 |
| 1104246057 | Kelli Windsor | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2014-04-18 |
| 1184989642 | Susan Badidi | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2012-07-11 |
| 1871736660 | Stephens Memorial Hospital | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2009-04-09 |
| 1669648036 | Rebecca Lynn Mcintire | Nurse Practitioner | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2008-05-05 |
| 1164611943 | Matthew Proctor Md Pa | Family Medicine | 101 S Hartford St, Suite B, Breckenridge, TX 76424-4711 | 2007-10-17 |
| 1467513044 | Stephens Memorial Hospital | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-12-13 |
| 1700956539 | William Elmo Prater | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-11-09 |
| 1467563155 | Joe E Mikeska Jr. | General Practice | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-08-31 |
| 1619919081 | Rachael Kendra Dabelic, M.d. P.a. | Family Medicine | 101 S Hartford St, Suite A, Breckenridge, TX 76424-4711 | 2006-06-12 |
| 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 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| Find all providers in zip 76424 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1861555054 | Midmichigan Medical Center-gratiot | Clinic/Center | 302 W Chestnut St, Breckenridge, MI 48615-9579 | 2006-12-18 |
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| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| 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.