Organization
GOODALL-WITCHER HOSPITAL AUTHORITY
Active
Other names
Goodall-Witcher Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM WILLMANN (PRESIDENT/CEO)
(254) 675-8322
Entity
Organization
Contact information
Practice address
101 POSEY AVE, CLIFTON, TX 76634-1832
(254) 675-8322
(254) 675-2246
Mailing address
PO BOX 549, CLIFTON, TX 76634-0549
(254) 675-8322
(254) 675-2246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
100188
TX
282NR1301X
Rural Acute Care Hospital
100188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137075112
—
TX
05
—
137075116
—
TX
05
—
137075117
—
TX
05
—
137075118
—
TX
Enumeration date
05/19/2006
Last updated
08/28/2017
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