NPIMap

Organization Active NPI

Decatur Hospital Authority

Doing business as Wise Health System - PSYCH UNIT

  • Psychiatric Hospital Unit
  • Decatur, TX
National Provider Identifier
1275690216
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
254 Issued in TX
Legal business name
DECATUR HOSPITAL AUTHORITY
Doing business as
Wise Health System - PSYCH UNIT
Wise Regional Health System - Psych Unit
Practice address
2000 South FM 51
Decatur, TX 76234
Phone
(940) 627-5921
Fax
(940) 393-0561
NPI assigned
Jan 2, 2007
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Jason Lance Wren
Title
Ceo
Phone
(940) 626-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 254 TX Primary

Addresses

Primary practice location

2000 South FM 51
Decatur, TX 76234

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
130606008MedicaidTX

Other names 2

  • Wise Health System - PSYCH UNIT Doing business as
  • Wise Regional Health System - Psych Unit Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1275690216",
    "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": "2000 SOUTH FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-627-5921",
            "fax_number": "940-393-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-626-8671"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130606008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Health System - PSYCH UNIT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Regional Health System - Psych Unit",
            "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 Apr 15, 2021; 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.