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CAH451385-00 Bosque County Hospital District DBA Goodall-Witcher Hospital (Active)
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Main Details
Name
Bosque County Hospital District DBA Goodall-Witcher Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451385-00
Medicare Provider Number
451385
Additional Details
Current Program Status
Active
Registration Date
7/8/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/13/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Goodall-Witcher Hospital Authority
Adam B. Willmann, CEO
(254) 675-8322 Ext: 7992
Primary Contact
Goodall-Witcher Hospital Authority
David Zschiesche, Pharmacy Director
(254) 326-8378
Addresses
Street Address
101 Posey Avenue
Clifton, TX 76634
Billing Address
Goodall-Witcher Hospital
P O Box 549
Clifton, TX 76634
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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