| Wise Regional Health System - Psych Unit | |
|
2000 South Fm 51 Decatur TX 76234 | |
| (940) 627-5921 | |
| (940) 393-0561 |
| Full Name | Wise Regional Health System - Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2000 South Fm 51, Decatur, Texas |
| Authorized Official Name and Position | Jason Lance Wren (CEO) |
| Authorized Official Contact | 9406268671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Regional Health System - Psych Unit 2000 S Fm 51 Decatur TX 76234-3702 Ph: (940) 627-5921 | Wise Regional Health System - Psych Unit 2000 South Fm 51 Decatur TX 76234 Ph: (940) 627-5921 |
| NPI Number | 1275690216 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Medicare PECOS PAC ID | 8325951346 |
|---|---|
| Medicare Enrollment ID | O20071018000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275690216 | NPI | - | NPPES |
| 130606008 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 254 (Texas) | Primary |
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