Decatur Hospital Authority

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

DECATUR HOSPITAL AUTHORITY

Doing business as

Wise Health Emergency Center
Wise Health Surgical Hospital

Practice address

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611

Phone

(817) 502-7300

Fax

(817) 502-7401

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jason Wren

Title

Ceo

Phone

(940) 626-8671

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Wise Health Emergency Center Doing business as
• Wise Health Surgical Hospital Doing business as

Member of 1

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

• Decatur Hospital Authority

  • Skilled Nursing Facility
  • Mansfield, TX
  • NPI 1386047645

  Member Of

  NPD member

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1407229529",
    "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": "3200 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778611",
            "telephone_number": "817-502-7300",
            "fax_number": "817-502-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7218 Crawford Road",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "76226",
            "country_code": "US",
            "telephone_number": "940-293-2885",
            "fax_number": "940-293-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7214 Crawford Road",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "76226",
            "country_code": "US",
            "telephone_number": "940-293-2888",
            "fax_number": "940-293-2892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DECATUR HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-626-8671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364597002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH190D",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364597001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Health Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Health Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Health Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley C Debusk, CPNP
• Matthew Decaro, LMSW
• Damon L Decarrillo, STUDENT
• Decatur Hospital Authority
• Decatur Hospital Authority
• Decatur Hospital Authority
• Decatur Hospital Authority
• Decatur Hospital Authority
• Douglas C Decker, MD
• Tiffany Blair Decker, COTA

• General Acute Care Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.