Lake Whitney Medical Clinic

LBN: Goodall-Witcher Hospital Authority
Lake Whitney Medical Clinic is an health care organization with primary practice located at 202 E Jefferson Ave , Whitney TX 76692-2398. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Goodall-Witcher Hospital Authority can be contacted via phone (254) 694-2221, or through Willmann, Adam B via phone (254) 675-8322.

Contact Information

Primary practice address
202 E Jefferson Ave Whitney TX 76692-2398
Phone: (254) 694-2221
Fax: (254) 694-9978
Website:
Map and Directions
Authorized official contact:
Name: Willmann, Adam B
Phone: (254) 675-8322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1336546266
LBN Legal business name Goodall-Witcher Hospital Authority
DBA Doing business as Lake Whitney Medical Clinic
Authorized official Willmann, Adam B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2014
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336546266 NPPES
Texas MEDICAID 347012203

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