NPIMap

Organization Active NPI

Glen Rose Medical Foundation

  • Chronic Disease Hospital
  • Glen Rose, TX
National Provider Identifier
1821032780
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
000059 Issued in TX
Legal business name
GLEN ROSE MEDICAL FOUNDATION
Practice address
1021 Holden St
Glen Rose, TX 76043-4937
Phone
(254) 897-2215
Fax
(254) 897-1446
NPI assigned
Jun 15, 2006
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
Hal Mayo
Title
Cfo
Phone
(254) 897-2215

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000059 TX
Critical Access Hospital Clinic/Center 261QC0050X 000059 TX
Chronic Disease Hospital 281P00000X 000059 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X 000059 TX

Addresses

Primary practice location

1021 Holden St
Glen Rose, TX 76043-4937

Mailing address

PO Box 299
Glen Rose, TX 76043-0299
Phone (254) 897-2215

Other identifiers 3

IdentifierTypeStateIssuer
3367917OtherTXAETNA INS
10010265OtherTXAMERIGROUP
HH0458OtherTXBLUE CROSS BLUE SHEILD

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821032780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760430299",
            "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 ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434937",
            "telephone_number": "254-897-2215",
            "fax_number": "254-897-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROSE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-897-2215"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000059",
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "TX",
            "license": "000059",
            "primary": false
        },
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "TX",
            "license": "000059",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "000059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "3367917",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10010265",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "HH0458",
            "state": "TX"
        }
    ],
    "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.