NPI | 1821032780 |
---|---|
Doing Business As | GLEN ROSE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | HAL MAYO CFO 254-897-2215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000059) |
Additional Taxonomies | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: TX 000059) |
281P00000X Chronic Disease Hospital (Licence: TX 000059) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 000059) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-08-22 |