Goodall-Witcher Hospital Authority

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

005355 Issued in TX

Legal business name

GOODALL-WITCHER HOSPITAL AUTHORITY

Doing business as

Goodall-Witcher Nursing Facility

Practice address

101 S Avenue T
Clifton, TX 76634-1832

Phone

(254) 675-8322

Fax

(254) 675-2246

NPI assigned

Jul 20, 2006

Last updated

Dec 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Willmann

Title

President/Ceo

Phone

(254) 675-8322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goodall-Witcher Nursing Facility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1023038379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766340549",
            "telephone_number": "254-675-8322",
            "fax_number": "254-675-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AVENUE T",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341832",
            "telephone_number": "254-675-8322",
            "fax_number": "254-675-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODALL-WITCHER HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLMANN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "254-675-8322"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "005355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45F411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodall-Witcher Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Chae Finney
• Nelli Ann Flores
• Cadi Suzanne Gloff, APRN-CNP
• Goodall-Witcher Healthcare Foundation
• Goodall-Witcher Healthcare Foundation
• Goodall-Witcher Hospital Authority (Clifton Medical Clinic)
• Goodall-Witcher Hospital Authority
• Goodall-Witcher Hospital Authority (Goodall-Witcher Hospital)
• Goodall-Witcher Hospital Authority (Sunset Home)
• Goodall-Witcher Hospital Authority (Goodall-Witcher Hospital)

• Nursing Facility/Intermediate Care Facility in Clifton, TX
• Providers in Clifton, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.