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NPI Code Detail

MEDICARE: GOODALL-WITCHER HOSPITAL AUTHORITY

MEDICARE: GOODALL-WITCHER HOSPITAL AUTHORITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2207Q00000XFamily Medicine Physician
3261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336546266
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODALL-WITCHER HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 202 E JEFFERSON AVE
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2398
Country : US
Telephone Number : 254-674-2221
Fax Number : 254-694-9978
Provider Business Practice Location Address
First Line : 202 E JEFFERSON AVE
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2398
Country : US
Telephone Number : 254-694-2221
Fax Number : 254-694-9978
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ADAM B WILLMANN
Credential :
Telephone Number : 254-675-8322
Provider Enumeration Date : 11/20/2014
Last Update Date : 07/21/2022

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Directions to “GOODALL-WITCHER HOSPITAL AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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