Healthcare Provider Details

I. General information

NPI: 1831593029
Provider Name (Legal Business Name): STEPHENS MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2014
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E 6TH ST
BAIRD TX
79504-3606
US

IV. Provider business mailing address

224 E 6TH ST
BAIRD TX
79504-3606
US

V. Phone/Fax

Practice location:
  • Phone: 817-339-6177
  • Fax: 817-339-6178
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MIKE EASLEY
Title or Position: CEO
Credential:
Phone: 254-559-2241