NPIMap

Organization Active NPI

Glen Rose Medical Foundation Inc.

Doing business as Glen Rose Medical Center

  • Emergency Medicine Physician
  • Glen Rose, TX
National Provider Identifier
1639292964
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
000059 Issued in TX
Legal business name
GLEN ROSE MEDICAL FOUNDATION INC.
Doing business as
Glen Rose Medical Center
Practice address
1021 Holden
Glen Rose, TX 76043-2099
Phone
(254) 897-2215
Fax
(254) 897-1446
NPI assigned
Apr 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Marks, CEO
Title
Ceo
Phone
(254) 897-2215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 000059 TX
Emergency Medicine Physician 207P00000X 000059 TX Primary

Addresses

Primary practice location

1021 Holden
Glen Rose, TX 76043-2099

Mailing address

PO Box 2099
Glen Rose, TX 76043-2099
Phone (254) 897-2215

Other names 1

  • GLEN ROSE MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glen Rose Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639292964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760432099",
            "telephone_number": "254-897-2215",
            "fax_number": "254-897-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HOLDEN",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760432099",
            "telephone_number": "254-897-2215",
            "fax_number": "254-897-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROSE MEDICAL FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-897-2215",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000059",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLEN ROSE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Rose, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.