Glen Rose Healthcare, Inc

LBN: Glen Rose Healthcare, Inc
Glen Rose Healthcare, Inc is an health care organization with primary practice located at 409 Glenwood St 500, Glen Rose TX 76043-4933. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Glen Rose Healthcare, Inc can be contacted via phone (254) 897-2202, or through Reynolds, Ray via phone (254) 897-2215.

Contact Information

Primary practice address
409 Glenwood St 500 Glen Rose TX 76043-4933
Phone: (254) 897-2202
Fax: (254) 897-1638
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Ray
Phone: (254) 897-2215

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1568509586
LBN Legal business name Glen Rose Healthcare, Inc
DBA Doing business as
Authorized official Reynolds, Ray
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 20th, 2017 - about 7 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 1568509586 NPPES
Texas MEDICAID 191011901

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