Grapevine Medical Lodge

LBN: Decatur Hospital Authority
Grapevine Medical Lodge is an health care organization with primary practice located at 1005 Ira E. Woods Parkway , Grapevine TX 76051-4018. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Decatur Hospital Authority can be contacted via phone (817) 421-1313, or through Wren, Jason L via phone (940) 627-5921.

Contact Information

Primary practice address
1005 Ira E. Woods Parkway Grapevine TX 76051-4018
Phone: (817) 421-1313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wren, Jason L
Phone: (940) 627-5921

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1336543081
LBN Legal business name Decatur Hospital Authority
DBA Doing business as Grapevine Medical Lodge
Authorized official Wren, Jason L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2014
Last updated Aug 12th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336543081 NPPES
Texas Other 67-6101 MEDICARE CCN

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