Organization
DECATUR HOSPITAL AUTHORITY
Active
Other names
Wise Health System - Dialysis Center, Wise Health System
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LANCE WREN (CEO ADMINISTRATOR)
(940) 627-8671
Entity
Organization
Contact information
Practice address
2150 S FM 51, DECATUR, TX 76234
(940) 626-5100
(940) 626-1750
Mailing address
2000 S FM 51, DECATUR, TX 76234
(940) 626-1700
(940) 626-1750
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130606007
—
TX
Enumeration date
12/19/2006
Last updated
09/14/2023
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