GOODALL-WITCHER HOSPITAL AUTHORITY (NPI# 1023038379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023038379 |
Entity Type | Organization |
Organization Name | GOODALL-WITCHER HOSPITAL AUTHORITY |
Other Organization Name | GOODALL-WITCHER NURSING FACILITY |
Practice Address |
101 S Avenue T Clifton TX 76634-1832 |
Mailing Address |
Po Box 549 Clifton TX 76634-0549 |
Practice Telephone | 2546758322 |
Practice Fax Number | 2546752246 |
Mailing Telephone | 2546758322 |
Mailing Fax Number | 2546752246 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2012-12-03 |
Authorized Official Name | ADAM WILLMANN (PRESIDENT/CEO) |
Authorized Official Telephone | 2546758322 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 005355 | TX | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 45F411 | 05 |
Other Name | Type Code |
---|---|
Goodall-Witcher Nursing Facility | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740611805 | Goodall-witcher Hospital Authority | Skilled Nursing Facility | 1800 W 9th St, Clifton, TX 76634-1880 | 2013-11-27 |
1962455832 | Goodall-witcher Hospital Authority | Emergency Medicine | 101 Posey Ave, Clifton, TX 76634-1832 | 2006-05-19 |
1336546266 | Goodall-witcher Hospital Authority | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2014-11-20 |
1679696264 | Goodall-witcher Hospital Authority | Medicare Defined Swing Bed Unit | 101 Posey Ave, Clifton, TX 76634-1289 | 2007-04-09 |
1598709578 | Goodall-witcher Hospital Authority | Home Health | 201 Posey Ave, Clifton, TX 76634-1200 | 2006-06-16 |
1184666026 | Goodall-witcher Hospital Authority | Anesthesiology | 201 Posey Ave, Clifton, TX 76634-1855 | 2006-06-12 |
Street Address |
101 S AVENUE T |
City | CLIFTON |
State | TX |
Zip Code | 76634-1832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760455893 | Linda J Isbell | Nurse Practitioner | 101 S Avenue T, Clifton, TX 76634-1832 | 2006-02-09 |
1023205614 | William P Trotter | Radiology | 101 S Avenue T, Clifton, TX 76634-1832 | 2007-09-27 |
1598986531 | Goodall-witcher Healthcare Foundation | Durable Medical Equipment & Medical Supplies | 101 S Avenue T, Clifton, TX 76634-1832 | 2007-05-01 |
1326112665 | Mary M Hall | Nurse Practitioner | 101 S Avenue T, Clifton, TX 76634-1832 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
1720626336 | Chelsie Guinn | Pharmacist | 900 Fm 3200, Clifton, TX 76634 | 2019-12-13 |
1396872651 | Lutheran Sunset Ministries | Hospice Care, Community Based | 113 S. Ave D, Clifton, TX 76634 | 2007-02-27 |
1396813028 | Lutheran Sunset Ministries | Skilled Nursing Facility | 1800 West 9th, Clifton, TX 76634 | 2006-12-01 |
1043214059 | Dee Anna Walker | Dentist | 302 South Avenue Q, Clifton, TX 76634 | 2005-06-08 |
1487136818 | Melissa Daniell | Physical Therapy Assistant | 1000 Fm 3220, Clifton, TX 76634 | 2018-09-01 |
1982115739 | Pillsbury Counseling Pllc | Social Worker | 101 Posey Ave, Clifton, TX 76634 | 2017-10-19 |
1376664847 | Robert Lance Urbanovsky | Chiropractor | 202 N Ave G, Clifton, TX 76634-0384 | 2007-04-03 |
1205032919 | Debra Kay Elwell | Nurse Practitioner | 101 S. Ave T, Clifton, TX 76634-0549 | 2007-06-21 |
1376861476 | Barbara D Weir | Nurse Practitioner | 201 S. Avenue T, Clifton, TX 76634-0855 | 2010-05-13 |
Find all providers in zip 76634 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386701076 | Community Care, Inc | Nursing Facility/Intermediate Care Facility | 310 Strand St, Clifton, KS 66937-9629 | 2007-01-02 |
1356803886 | Bosque County Hospital District | Nursing Facility/Intermediate Care Facility | 101 Posey Ave, Clifton, TX 76634-1289 | 2019-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
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1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.