- Enrollment id
- O20170809002364
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1831593029
- Multiple npi flag
- N
- Ccn
- 675364
- Associate id
- 4688801715
- Organization name
- STEPHENS MEMORIAL HOSPITAL DISTRICT
- Doing business as name
- AVIR AT BAIRD
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- AVIR AT BAIRD
- Affiliation entity name
- AVIR HEALTH GROUP
- Affiliation entity id
- 719
- Address line 1
- 224 E 6TH ST
- City
- BAIRD
- State
- TX
- Zip code
- 795043606