GLEN ROSE MEDICAL FOUNDATION NPI 1821032780

NPI Information

NPI: 1821032780
Provider Name: GLEN ROSE MEDICAL FOUNDATION

Doing Business As: GLEN ROSE MEDICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1021 HOLDEN ST
GLEN ROSE, TX
ZIP 76043
Phone: (254) 897-2215
Get Directions

GLEN ROSE MEDICAL FOUNDATION is an ambulatory surgical clinic center in Glen Rose, TX. GLEN ROSE MEDICAL FOUNDATION NPI is 1821032780. The provider is registered as an organization entity type.
The provider Is Doing Business As Glen Rose Medical Center.

The provider's business location address is:

1021 HOLDEN ST
GLEN ROSE, TX
ZIP 76043-937
Phone: (254) 897-2215
Fax: (254) 897-1446

The provider's authorized official is Hal Mayo .
The authorized official title is Cfo and has the following contact phone number (254) 897-2215.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	000059	TEXAS	Yes
2	261QC0050X	Clinic/Center	Critical Access Hospital	000059	TEXAS	X
3	281P00000X	Chronic Disease Hospital		000059	TEXAS	X
4	332B00000X	Durable Medical Equipment & Medical Supplies		000059	TEXAS	X

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
1	HH0458	OTHER	TEXAS	BLUE CROSS BLUE SHEILD
2	10010265	OTHER	TEXAS	AMERIGROUP
3	3367917	OTHER	TEXAS	AETNA INS

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: 5/5/2024

NPI Synchronization or Removal

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