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DECATUR HOSPITAL AUTHORITY NPI 1124076401


NPI Information

NPI: 1124076401
Provider Name: DECATUR HOSPITAL AUTHORITY

Doing Business As: WISE HEALTH SYSTEM

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D0682745

Address:
609 MEDICAL CENTER DR
DECATUR, TX
ZIP 76234
Phone: (940) 627-5921
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DECATUR HOSPITAL AUTHORITY is a general acute care hospital in Decatur, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DECATUR HOSPITAL AUTHORITY NPI is 1124076401. The provider is registered as an organization entity type.
The provider Is Doing Business As Wise Health System.

The provider's business location address is:

609 MEDICAL CENTER DR
DECATUR, TX
ZIP 76234
Phone: (940) 627-5921
Fax: (940) 393-0561

The provider's authorized official is Jason Lance Wren .
The authorized official title is Ceo Administrator and has the following contact phone number (940) 627-5921.

The CLIA number assigned to this NPI record is 45D0682745 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 4/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital254TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1083517502MEDICAIDTEXAS
2HH0042OTHERTEXASBCBS
300K55DOTHERTEXASBCBS
4130606007MEDICAIDTEXAS
5130606010MEDICAIDTEXAS
6130606006MEDICAIDTEXAS
7130606008MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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