GOODALL-WITCHER HOSPITAL AUTHORITY NPI 1336546266

NPI Information

  • NPI: 1336546266
  • Provider Name: GOODALL-WITCHER HOSPITAL AUTHORITY
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: LAKE WHITNEY MEDICAL CLINIC
  • CLIA Number: 45D0488453
  • Address: 202 E JEFFERSON AVE
    WHITNEY, TX
    ZIP 76692
  • Phone: (254) 694-2221

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NPI Details

GOODALL-WITCHER HOSPITAL AUTHORITY is a rural health clinic center in Whitney, TX. GOODALL-WITCHER HOSPITAL AUTHORITY NPI is 1336546266. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Whitney Medical Clinic.

The provider's business location address is:

202 E JEFFERSON AVE
WHITNEY, TX
ZIP 76692-398
Phone: (254) 694-2221
Fax: (254) 694-9978

The provider's authorized official is Adam B Willmann .
The authorized official title is President/ceo and has the following contact phone number (254) 675-8322.

The CLIA number assigned to this NPI record is 45D0488453 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2207Q00000XFamily MedicineNo
3261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1347012203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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