DECATUR HOSPITAL AUTHORITY (NPI# 1407229529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407229529 |
| Entity Type | Organization |
| Organization Name | DECATUR HOSPITAL AUTHORITY |
| Other Organization Name | WISE HEALTH SURGICAL HOSPITAL |
| Practice Address |
3200 N Tarrant Pkwy Fort Worth TX 76177-8611 |
| Mailing Address |
2000 S Fm 51 Decatur TX 76234-3702 |
| Practice Telephone | 8175027300 |
| Practice Fax Number | 8175027401 |
| Mailing Telephone | 9406275921 |
| Mailing Fax Number | 9403930561 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. JASON WREN (CEO) |
| Authorized Official Telephone | 9406268671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID - HOSPITAL - PRIVATE FULL CARE | 364597001 | 01 |
| TX | BCBS | HH190D | 01 |
| TX | MEDICAID - ASC - HOSPITAL BASED | 364597002 | 01 |
| Other Name | Type Code |
|---|---|
| Wise Health Emergency Center | Doing Business As Name - Organization |
| Wise Health Surgical Hospital | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7214 Crawford Road, Argyle, TX 76226 | 9402932888 | 9402932892 |
| 7218 Crawford Road, Argyle, TX 76226 | 9402932885 | 9402932891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033508536 | Decatur Hospital Authority | Clinic/Center | 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 | 2015-01-21 |
| 1336543081 | Decatur Hospital Authority | Skilled Nursing Facility | 1005 Ira E. Woods Parkway, Grapevine, TX 76051-4018 | 2014-10-09 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| 1275690216 | Decatur Hospital Authority | Psychiatric Unit | 2000 South Fm 51, Decatur, TX 76234 | 2007-01-02 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| 1033153762 | Decatur Hospital Authority | Skilled Nursing Facility | 5801 Bryant Irvin Rd, Fort Worth, TX 76132 | 2006-06-15 |
| 1598726358 | Decatur Hospital Authority | Skilled Nursing Facility | 601 Midwestern Pkwy E, Wichita Falls, TX 76302-2401 | 2006-03-31 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1053945766 | Decatur Hospital Authority | General Acute Care Hospital | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-03-03 |
| 1962892109 | Decatur Hospital Authority | Skilled Nursing Facility | 999 Raintree Cir, Allen, TX 75013-4947 | 2015-01-26 |
| Street Address |
3200 N TARRANT PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1710524095 | Southlake Premier Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-05 |
| 1831736206 | Keller Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950418 | Angela Ehlen | General Acute Care Hospital | 517 Stone Crossing Ln, Fort Worth, TX 76140-7503 | 2016-05-14 |
| 1831515550 | Forest Park Mecial Center At Fort Worth, LLC | General Acute Care Hospital | 5400 Clearfork Main St, Fort Worth, TX 76107 | 2014-03-06 |
| 1275884165 | Federal Bureau of Prisons | General Acute Care Hospital | J Street, Bldg 3000, Fmc Carswell, Fort Worth, TX 76127-7066 | 2012-10-02 |
| 1568656502 | Usmd Hospital At Fort Worth, L.p. | General Acute Care Hospital | 5900 Dirks Rd, Fort Worth, TX 76132-5473 | 2007-09-04 |
| 1871599183 | Fort Worth Surgicare Partners, Ltd. | General Acute Care Hospital | 1800 Park Place Ave, Fort Worth, TX 76110-1302 | 2005-06-22 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1003208091 | Victory Medical Center Fort Worth, Lp | General Acute Care Hospital | 600 South Main, Fort Worth, TX 76104 | 2015-02-27 |
| 1649681412 | John Peter Smith Hospital | General Acute Care Hospital | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-05-15 |
| 1871911016 | North Texas - Mca LLC | General Acute Care Hospital | 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 | 2014-04-04 |
| 1952739179 | Fort Worth Surgicare Partners, Ltd | General Acute Care Hospital | 750 12th Ave, Fort Worth, TX 76104-2517 | 2013-10-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
Please comment or provide details below to improve the information on DECATUR HOSPITAL AUTHORITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.