Basic Information
| Provider Information | |||||||||
| NPI: | 1366611394 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DECATUR COUNTY GENERAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 W CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383512038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369446420 | ||||||||
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| Practice Location | |||||||||
| Address1: | 969 TENNESSEE AVE S | ||||||||
| Address2: | |||||||||
| City: | PARSONS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383633700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7318473031 | ||||||||
| FaxNumber: | 7318471147 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2008 | ||||||||
| LastUpdateDate: | 07/01/2022 | ||||||||
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| AuthorizedOfficialLastName: | HENSON | ||||||||
| AuthorizedOfficialFirstName: | LARRY | ||||||||
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| AuthorizedOfficialTitleorPosition: | RCD | ||||||||
| AuthorizedOfficialTelephone: | 3369446420 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NR1301X | 989 | TN | Y | Hospitals | General Acute Care Hospital | Rural |
No ID Information.