Organization
GOODALL-WITCHER HOSPITAL AUTHORITY
Active
Other names
Clifton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM WILLMANN (PRESIDENT/CEO)
(254) 675-8322
Entity
Organization
Contact information
Practice address
201 POSEY AVE, CLIFTON, TX 76634-1855
(254) 675-8621
(254) 675-2254
Mailing address
PO BOX 72, CLIFTON, TX 76634-0072
(254) 675-8621
(254) 675-2254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018478001
—
TX
05
—
121881002
—
TX
05
—
121881003
—
TX
Enumeration date
06/12/2006
Last updated
05/28/2014
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