NPIMap

Organization Active NPI

Decatur Hospital Authority

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, TX
National Provider Identifier
1730242538
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DECATUR HOSPITAL AUTHORITY
Practice address
2150 S FM 51
Decatur, TX 76234
Phone
(940) 626-5100
Fax
(940) 626-1750
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Jason Lance Wren
Title
Ceo Administrator
Phone
(940) 627-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2150 S FM 51
Decatur, TX 76234

Mailing address

2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1700

Other identifiers 1

IdentifierTypeStateIssuer
130606007MedicaidTX

Other names 2

  • Wise Health System Doing business as
  • Wise Health System - Dialysis Center 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.

Locations

2150 S FM 51
Decatur, TX 76234
Phone (940) 626-1700

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1730242538",
    "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": "76234",
            "telephone_number": "940-626-1700",
            "fax_number": "940-626-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-626-5100",
            "fax_number": "940-626-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "940-627-8671"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130606007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Health System - Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Health System - Dialysis Center",
            "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 Sep 14, 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.