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NPI Code Detail

MEDICARE: STEPHENS MEMORIAL HOSPITAL DISTRICT

MEDICARE: STEPHENS MEMORIAL HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1467108837
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHENS MEMORIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1401 RICE RD
Second Line :
City : TYLER
State : TX
Zip : 75703-3233
Country : US
Telephone Number : 903-561-6060
Fax Number : 903-534-8045
Provider Business Practice Location Address
First Line : 1401 RICE RD
Second Line :
City : TYLER
State : TX
Zip : 75703-3233
Country : US
Telephone Number : 903-561-6060
Fax Number : 903-534-8045
Authorized Official
Title or Position : CEO
Name : GENA SPEER
Credential :
Telephone Number : 254-559-2241
Provider Enumeration Date : 02/24/2022
Last Update Date : 02/16/2026

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Directions to “STEPHENS MEMORIAL HOSPITAL DISTRICT ” Practice Location

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