# SOMERVELL COUNTY HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GLEN ROSE MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700826575
- **Authorized official:** EARL R REYNOLDS (C.E.O.)
- **Authorized official phone:** (254) 897-1425

## Contact information

- **Practice address:** 1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
- **Practice address phone:** (254) 897-2215
- **Practice address fax:** (254) 897-1446
- **Mailing address:** 1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
- **Mailing address phone:** (254) 897-2215
- **Mailing address fax:** (254) 897-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 000059 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000059 | TX | — |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 121800003 | — | TX |
| 05 | — | 121800004 | — | TX |
| 01 | — | 200134272 | ALL MANAGED CARE INS | TX |
| 01 | — | HH0458 | BLUE CROSS BLUE SHIELD | TX |