Provider Demographics
NPI:1285191452
Name:STEWARD TEXAS HOSPITAL HOLDINGS LLC
Entity Type:Organization
Organization Name:STEWARD TEXAS HOSPITAL HOLDINGS LLC
Other - Org Name:SCENIC MOUNTAIN MEDICAL CENTER, A STEWARD FAMILY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRABILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-268-4903
Mailing Address - Street 1:1900 N PEARL ST STE 2400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2470
Mailing Address - Country:US
Mailing Address - Phone:469-341-8800
Mailing Address - Fax:
Practice Address - Street 1:1601 W 11TH PL
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-4114
Practice Address - Country:US
Practice Address - Phone:432-263-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital