GLEN ROSE MEDICAL FOUNDATION NPI 1821032780

NPI Information

NPI: 1821032780
Provider Name: GLEN ROSE MEDICAL FOUNDATION
Classification: Chronic Disease Hospital - 281P00000X
Entity Type: Organization
:
Address: 1021 HOLDEN ST
GLEN ROSE, TX
ZIP 76043
Phone: (254) 897-2215

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NPI Details

GLEN ROSE MEDICAL FOUNDATION is a chronic disease hospital in Glen Rose, TX. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. GLEN ROSE MEDICAL FOUNDATION NPI is 1821032780. The provider is registered as an organization entity type.
The provider .

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 9/11/2025.

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	No
2	261QC0050X	Clinic/Center	Critical Access Hospital	000059	TEXAS	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		000059	TEXAS	No
4	281P00000X	Chronic Disease Hospital		000059	TEXAS	Yes

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

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: 11/21/2025

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