Organization
DECATUR HOSPITAL AUTHORITY
Active
Other names
Wise Health System Secondary
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TODD SCROGGINS (CFO)
(940) 626-1228
Entity
Organization
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(940) 627-5921
(940) 393-0561
Mailing address
2000 S FM 51, DECATUR, TX 76234-3702
(940) 627-5921
(940) 393-0561
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
03/03/2020
Last updated
03/03/2020
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