Organization
DECATUR HOSPITAL AUTHORITY
Active
Other names
Wise Health Surgical Hospital Secondary
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TODD SCROGGINS (CFO)
(940) 626-1228
Entity
Organization
Contact information
Practice address
3200 N TARRANT PKWY, FORT WORTH, TX 76177-8611
(817) 502-7300
(817) 502-7401
Mailing address
2000 S FM 51, DECATUR, TX 76234-3702
(817) 502-7300
(817) 502-7401
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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