Ahs Henryetta Hospital LLC
NPI 1295232478 · Rural Health Clinic/Center · Henryetta, OK
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ahs Henryetta Hospital LLC is a Rural Health Clinic/Center organization in Henryetta, OK (NPI 1295232478).
Provider details
- NPI number
- 1295232478
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ahs Hillcrest Healthcare System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp(615) 296-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Utica Park Clinic Primary Care
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2019-05-29
Frequently asked questions
- What is Ahs Henryetta Hospital LLC's NPI number?
- Ahs Henryetta Hospital LLC's National Provider Identifier (NPI) is 1295232478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ahs Henryetta Hospital LLC?
- Ahs Henryetta Hospital LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ahs Henryetta Hospital LLC located?
- Ahs Henryetta Hospital LLC's practice location on file with NPPES is 2405 W Main St Ste a, Henryetta, OK 74437.
- What is Ahs Henryetta Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Ahs Henryetta Hospital LLC is (918) 650-1180.
- Does Ahs Henryetta Hospital LLC accept Medicare?
- Ahs Henryetta Hospital LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ahs Henryetta Hospital LLC?
- The authorized official listed on Ahs Henryetta Hospital LLC's NPPES record is Stephen Petrovich, Evp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ahs Henryetta Hospital LLC's NPI active?
- Yes — Ahs Henryetta Hospital LLC's NPI (1295232478) is active in the NPPES registry as of the last update on 2019-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.