GLEN ROSE HEALTHCARE, INC
NPI 1568509586
Family Medicine in Glen Rose, TX

Active since January 31, 2007CLIA 45D1094255 · Waiver
409 GLENWOOD ST, 500, GLEN ROSE, TX 76043(254) 897-2202(254) 897-1638 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2017, Jan 12, 2017, Jul 12, 2016 (3 updates tracked since 2016).

About Glen Rose Healthcare, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN ROSE HEALTHCARE, INC (NPI 1568509586) is a healthcare organization registered as a family medicine in Glen Rose, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Ray Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568509586
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLEN ROSE HEALTHCARE, INC
Location Address409 GLENWOOD ST, 500Glen Rose, TX 76043-4933
Mailing Address409 Glenwood St, 500Glen Rose, TX 76043-4933 · (254) 897-2202 · Fax (254) 897-1638
Fax(254) 897-1638
Organization SubpartNo
Authorized OfficialRay ReynoldsCeo · (254) 897-2215
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMarch 20, 20173 updates tracked since enumeration
NPI 1568509586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

409 GLENWOOD ST, Glen Rose, TX 76043

Other Identifiers 3

Medicare NSC6347550001TX
Medicare PIN00X771TX
Medicaid191011901TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1094255
Facility Type
Physician Office
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
STEVEN VACEK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Glen Rose Healthcare, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GLEN ROSE HEALTHCARE, INC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
409 GLENWOOD ST, SUITE 500
GLEN ROSE, TX 76043
Family Medicine
409 GLENWOOD ST, 500
GLEN ROSE, TX 76043
Family Medicine
409 GLENWOOD ST, SUITE 500
GLEN ROSE, TX 76043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568509586, enumerated as an "organization" on January 31, 2007.

The provider is located at 409 GLENWOOD ST 500 GLEN ROSE, TX 76043 and the phone number is (254) 897-2202.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.