# GOODALL-WITCHER HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunset Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740611805
- **Authorized official:** MR. ADAM B WILLMANN (PRESIDENT/CEO)
- **Authorized official phone:** (254) 675-7995

## Contact information

- **Practice address:** 1800 W 9TH ST, CLIFTON, TX 76634-1880
- **Practice address phone:** (254) 675-8637
- **Practice address fax:** (254) 675-3248
- **Mailing address:** 1800 W 9TH ST, CLIFTON, TX 76634-1880
- **Mailing address phone:** (254) 675-8637
- **Mailing address fax:** (254) 675-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 02/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025615 | — | TX |
| 01 | — | 004059 | MEDICAID VENDOR ID | TX |