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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: August 16, 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
Phone(254) 897-2202
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1094255

Glen Rose Healthcare, Inc · Glen Rose, TX
Active · expires Jan 13, 2027
CLIA Number45D1094255
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorSteven Vacek
Laboratory Phone(254) 897-2202
Laboratory LocationGlen Rose Healthcare, Inc409 Glenwood, Suite 500, Glen Rose, TX 76043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN J VACEK MD
Family Medicine
409 GLENWOOD ST, SUITE 500
GLEN ROSE, TX 76043
Somervell County (254) 897-2202
BRUCE CARPENTER MD
Family Medicine
409 GLENWOOD ST, SUITE 500
GLEN ROSE, TX 76043
Somervell County (254) 897-2202
DR. MICHAEL L DAVIS M.D.
Family Medicine
409 GLENWOOD ST, 500
GLEN ROSE, TX 76043
Somervell County (254) 897-3369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Rose Healthcare, Inc's NPI number?

The NPI number for Glen Rose Healthcare, Inc is 1568509586. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Glen Rose Healthcare, Inc located?

Glen Rose Healthcare, Inc is located at 409 Glenwood St 500, Glen Rose, TX 76043. The listed phone number is (254) 897-2202.

What is Glen Rose Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Glen Rose Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1094255) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glen Rose Healthcare, Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Glen Rose Healthcare, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Rose Healthcare, Inc was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.