Whalio Doctors

NPI 1821032780

Glen Rose Medical Foundation

Organisation Chronic Disease Hospital Glen Rose, TX

Practice location

Address
1021 Holden St, Glen Rose, TX 76043-4937
Phone
(254) 897-2215
Fax
(254) 897-1446
Mailing address
PO Box 299, Glen Rose, TX 76043-0299

Authorised official

Name
Hal Mayo
Title
Cfo
Phone
(254) 897-2215

Registered specialties (4)

Chronic Disease Hospital Primary
Hospitals Taxonomy 281P00000X Licence 000059 (TX)
Ambulatory Surgical Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 000059 (TX)
Critical Access Hospital Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC0050X Licence 000059 (TX)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 000059 (TX)

Registry record

NPI
1821032780
Entity type
Organization
NPI issued
15 Jun 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.