# GLEN ROSE MEDICAL FOUNDATION

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

## Provider details

- **NPI number:** 1821032780
- **Authorized official:** HAL MAYO (CFO)
- **Authorized official phone:** (254) 897-2215

## 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:** PO BOX 299, GLEN ROSE, TX 76043-0299
- **Mailing address phone:** (254) 897-2215
- **Mailing address fax:** (254) 897-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 000059 | TX | — |
| 261QC0050X | Critical Access Hospital Clinic/Center | 000059 | TX | — |
| 281P00000X | Chronic Disease Hospital | 000059 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000059 | TX | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 09/11/2025