Provider Demographics
NPI:1922031541
Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE
Entity Type:Organization
Organization Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-3013
Mailing Address - Street 1:PO BOX 916078
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76191-6078
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:411 N BELKNAP ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-3415
Practice Address - Country:US
Practice Address - Phone:254-965-1556
Practice Address - Fax:254-965-1591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000256261QA1903X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121794503Medicaid
TX450351B000000OtherSECTION 1011
TX103873100OtherFIRSTCARE
TX232006500OtherDEPT OF LABOR
TX121794502OtherMEDICAID HASCO
TXHH0243OtherBLUE CROSS
TXHOHH024301OtherBCBS