| Goodall-witcher Healthcare Foundation | |
|
9295 Highway 6 Meridian TX 76665 | |
| (254) 435-2525 | |
| (254) 435-6025 |
| Full Name | Goodall-witcher Healthcare Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9295 Highway 6, Meridian, Texas |
| Authorized Official Name and Position | Clarence Fields (PRESIDENT/CEO) |
| Authorized Official Contact | 2546758322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodall-witcher Healthcare Foundation Po Box 528 Meridian TX 76665-0528 Ph: (254) 435-2525 | Goodall-witcher Healthcare Foundation 9295 Highway 6 Meridian TX 76665 Ph: (254) 435-2525 |
| NPI Number | 1881632875 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881632875 | NPI | - | NPPES |
| 163479203 | Medicaid | TX | |
| 163479204 | Medicaid | TX | |
| 163479201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |