Active NPI
Somervell County Hospital Authority
- Nursing Facility/Intermediate Care Facility
- Glen Rose, TX
National Provider Identifier
1770812646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 125688
- Legal business name
- SOMERVELL COUNTY HOSPITAL AUTHORITY
- Practice address
- 1021 Holden St
Glen Rose, TX 76043-4937 - Phone
- (254) 897-1448
- Fax
- (254) 897-1486
- NPI assigned
- Dec 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David H. Dennis
- Title
- Lnfa
- Phone
- (254) 897-1448
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 125688 | TX | Primary |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
1021 Holden St
Glen Rose, TX 76043-4937
Mailing address
1021 Holden St
Glen Rose, TX 76043-4937
Phone (254) 897-1448
Other names 1
- Glen Rose Nursing and Rehab Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1770812646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 HOLDEN ST",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760434937",
"telephone_number": "254-897-1448",
"fax_number": "254-897-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 HOLDEN ST",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760434937",
"telephone_number": "254-897-1448",
"fax_number": "254-897-1486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERVELL COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "LNFA",
"authorized_official_telephone_number": "254-897-1448",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TX",
"license": "125688",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glen Rose Nursing and Rehab 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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.