Glen Rose Medical Center

LBN: Somervell County Hospital District
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 2 registered licenses in different health care specialties including Hospitals / Rural, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / Rural is the primary health care specialty. Somervell County Hospital District can be contacted via phone (254) 897-2215, or through Reynolds, Earl R via phone (254) 897-1425.

Contact Information

Primary practice address
1021 Holden St Glen Rose TX 76043-4937
Fax: (254) 897-1446
Website:
Authorized official contact:
Name: Reynolds, Earl R

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 000059 Texas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 000059 Texas

Profile Details

NPI number 1700826575
LBN Legal business name Somervell County Hospital District
DBA Doing business as Glen Rose Medical Center
Authorized official Reynolds, Earl R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 22nd, 2014 - about 12 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 1700826575 NPPES
Texas Other 200134272 ALL MANAGED CARE INS
Texas Other HH0458 ALL MANAGED CARE INS
Texas MEDICAID 121800003 ALL MANAGED CARE INS
Texas MEDICAID 121800004 ALL MANAGED CARE INS
Texas Other 200134272 ALL MANAGED CARE INS

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