Organization
GOODALL-WITCHER HEALTHCARE FOUNDATION
Active
Other names
Meridian Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE FIELDS JR. CHE (PRESIDENT/CEO)
(254) 675-8322
Entity
Organization
Contact information
Practice address
9295 HIGHWAY 6, MERIDIAN, TX 76665
(254) 435-2525
(254) 435-6025
Mailing address
PO BOX 528, MERIDIAN, TX 76665-0528
(254) 435-2525
(254) 435-6025
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163479201
—
TX
05
—
163479203
—
TX
05
—
163479204
—
TX
Enumeration date
06/03/2006
Last updated
03/19/2009
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