Glen Rose Medical Center

LBN: Glen Rose Medical Foundation
Glen Rose Medical Center is an health care organization with primary practice located at 1021 Holden St , Glen Rose TX 76043-4937. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Critical Access Hospital, Hospitals / Chronic Disease Hospital, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Glen Rose Medical Foundation can be contacted via phone (254) 897-2215, or through Mayo, Hal via phone (254) 897-2215.

Contact Information

Primary practice address
1021 Holden St Glen Rose TX 76043-4937
Phone: (254) 897-2215
Fax: (254) 897-1446
Website:
Map and Directions
Authorized official contact:
Name: Mayo, Hal
Phone: (254) 897-2215

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 000059 Texas
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X 000059 Texas
Hospitals / Chronic Disease Hospital 281P00000X 000059 Texas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 000059 Texas

Profile Details

NPI number 1821032780
LBN Legal business name Glen Rose Medical Foundation
DBA Doing business as Glen Rose Medical Center
Authorized official Mayo, Hal
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1821032780 NPPES
Texas Other 3367917 AETNA INS
Texas Other 10010265 AETNA INS
Texas Other HH0458 AETNA INS

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