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
1	282N00000X	General Acute Care Hospital	254	TX
2	313M00000X	Nursing Facility/Intermediate Care Facility
3	314000000X	Skilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1124076401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DECATUR HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	2000 S FM 51
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234
Country	:	US
Telephone Number	:	940-627-5921
Fax Number	:	940-393-0561

Provider Business Practice Location Address
First Line	:	901 MEDICAL CENTER DR
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3874
Country	:	US
Telephone Number	:	940-900-4348
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN TODD SCROGGINS
Credential	:
Telephone Number	:	940-900-4348

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	06/03/2025

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Directions to “DECATUR HOSPITAL AUTHORITY ” Practice Location

Language	Start Address	Practice Location

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