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NPI Code Detail

MEDICARE: DECATUR HOSPITAL AUTHORITY

MEDICARE: DECATUR HOSPITAL AUTHORITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility143861TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033153762
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECATUR HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 5801 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4209
Country : US
Telephone Number : 817-346-3030
Fax Number : 817-346-1201
Provider Business Practice Location Address
First Line : 5801 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4209
Country : US
Telephone Number : 817-346-3030
Fax Number : 817-346-1201
Authorized Official
Title or Position : CEO
Name : BRIAN TODD SCROGGINS
Credential :
Telephone Number : 940-900-4348
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/14/2026

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Practice Location Address:
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FORT WORTH, TX
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Practice Fax:
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1619375904 — ERIN ADAMS PTA
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1376941609 — CHARLENE VALENTINE OTR/L
Practice Location Address:
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FT WORTH, TX
76132-4209
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1083002042 — MELISSA WEBSTER MS, CCC-SLP
Practice Location Address:
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Directions to “DECATUR HOSPITAL AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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