NPIMap

Organization Active NPI

Decatur Hospital Authority

Doing business as Wise Health System Secondary

  • General Acute Care Hospital
  • Decatur, TX
National Provider Identifier
1053945766
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DECATUR HOSPITAL AUTHORITY
Doing business as
Wise Health System Secondary
Practice address
609 Medical Center Dr
Decatur, TX 76234-3836
Phone
(940) 627-5921
Fax
(940) 393-0561
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Todd Scroggins
Title
Cfo
Phone
(940) 626-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

609 Medical Center Dr
Decatur, TX 76234-3836

Mailing address

2000 S FM 51
Decatur, TX 76234-3702
Phone (940) 627-5921

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • Wise Health System Secondary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Decatur Hospital Authority14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2431 W Airport Fwy
Ste 2423
Irving, TX 75062

7501 Las Colinas Blvd
Irving, TX 75063
Phone (972) 506-9986

601 S Main St
Ste 105
Keller, TX 76248
Phone (501) 580-8352

8479 Davis Blvd
North Richland Hills, TX 76182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1053945766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-627-5921",
            "fax_number": "940-393-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-627-5921",
            "fax_number": "940-393-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-626-1228"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Health System Secondary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.