# DECATUR HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Decatur Medical Lodge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649722943
- **Authorized official:** BRIAN TODD SCROGGINS (CEO)
- **Authorized official phone:** (940) 900-4348

## Contact information

- **Practice address:** 701 W BENNETT ROAD, DECATUR, TX 76234-3817
- **Practice address phone:** (940) 626-2800
- **Practice address fax:** (940) 626-2801
- **Mailing address:** 701 W BENNETT ROAD, DECATUR, TX 76234-3817
- **Mailing address phone:** (940) 626-2800
- **Mailing address fax:** (940) 626-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 05/21/2025
