| Goodall-witcher Clinic in Whitney | |
|
202 E Jefferson Ave Whitney TX 76692-2398 | |
| (254) 694-2221 | |
| (254) 694-9978 |
| Full Name | Goodall-witcher Clinic in Whitney |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 E Jefferson Ave, Whitney, Texas |
| Authorized Official Name and Position | Adam Willmann (PRESIDENT/CEO) |
| Authorized Official Contact | 2546758322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodall-witcher Clinic in Whitney 202 E Jefferson Ave Whitney TX 76692-2398 Ph: (254) 694-2221 | Goodall-witcher Clinic in Whitney 202 E Jefferson Ave Whitney TX 76692-2398 Ph: (254) 694-2221 |
| NPI Number | 1720540255 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Medicare PECOS PAC ID | 4587997754 |
|---|---|
| Medicare Enrollment ID | O20190610001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720540255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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