Goodall-Witcher Hospital Authority

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

100188 Issued in TX

Legal business name

GOODALL-WITCHER HOSPITAL AUTHORITY

Practice address

101 Posey Ave
Clifton, TX 76634-1832

Phone

(254) 675-8322

Fax

(254) 675-2246

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam Willmann

Title

President/Ceo

Phone

(254) 675-8322

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Goodall-Witcher Hospital Doing business as

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1962455832",
    "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 POSEY AVE",
            "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": "2006-05-19",
        "last_updated": "2017-08-28",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "100188",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "100188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137075112",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137075118",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137075117",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137075116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodall-Witcher Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Goodall-Witcher Hospital Authority
• Goodall-Witcher Hospital Authority
• Goodall-Witcher Hospital Authority
• Goodall-Witcher Hospital Authority
• Goodall-Witcher Hospital Authority
• Chelsie Guinn, PHARMD
• Jessica Hackworth, COTA
• Mary M Hall, N.P.
• Travis Hampe
• Jennifer R Harris-Manier, PTA

• Critical Access Hospital in Clifton, TX
• Providers in Clifton, TX by specialty
• Critical Access Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.