DECATUR HOSPITAL AUTHORITY NPI 1730242538

NPI Information

NPI: 1730242538
Provider Name: DECATUR HOSPITAL AUTHORITY

Doing Business As: WISE HEALTH SYSTEM - DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2150 S FM 51
DECATUR, TX
ZIP 76234
Phone: (940) 626-5100
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DECATUR HOSPITAL AUTHORITY is an end-stage renal disease (esrd) treatment clinic center in Decatur, TX. DECATUR HOSPITAL AUTHORITY NPI is 1730242538. The provider is registered as an organization entity type.
The provider Is Doing Business As Wise Health System - Dialysis Center.

The provider's business location address is:

2150 S FM 51
DECATUR, TX
ZIP 76234
Phone: (940) 626-5100
Fax: (940) 626-1750

The provider's authorized official is Jason Lance Wren .
The authorized official title is Ceo Administrator and has the following contact phone number (940) 627-8671.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/14/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130606007	MEDICAID	TEXAS

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: 5/5/2024

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