# GOODALL-WITCHER HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodall-Witcher Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023038379
- **Authorized official:** ADAM WILLMANN (PRESIDENT/CEO)
- **Authorized official phone:** (254) 675-8322

## Contact information

- **Practice address:** 101 S AVENUE T, CLIFTON, TX 76634-1832
- **Practice address phone:** (254) 675-8322
- **Practice address fax:** (254) 675-2246
- **Mailing address:** PO BOX 549, CLIFTON, TX 76634-0549
- **Mailing address phone:** (254) 675-8322
- **Mailing address fax:** (254) 675-2246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 005355 | TX | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 12/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 45F411 | — | TX |