NPIMap

Organization Active NPI

Decatur Hospital Authority

  • General Acute Care Hospital
  • Fort Worth, TX
National Provider Identifier
1427682137
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 Surgical Hospital Secondary
Practice address
3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611
Phone
(817) 502-7300
Fax
(817) 502-7401
NPI assigned
Mar 3, 2020
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 Primary

Addresses

Primary practice location

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611

Mailing address

2000 S FM 51
Decatur, TX 76234-3702
Phone (817) 502-7300

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • Wise Health Surgical Hospital Secondary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Decatur Community HSP H13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

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": "1427682137",
    "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": "817-502-7300",
            "fax_number": "817-502-7401"
        },
        {
            "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": [],
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Health Surgical Hospital Secondary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, 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.