OrganizationActiveAccepts Medicare
Ahs Henryetta Hospital LLC
NPI 1720053556 · General Acute Care Hospital · Henryetta, OK
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1720053556
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Stephen Petrovich, Svp(615) 296-3000
- License
- 2222 (OK)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Dewey Bartlett & Main
Henryetta, OK 74437-1269
Phone: (918) 579-7545
Fax: (918) 579-5570
Street-level locationGet directions
Mailing address
Po Box 1269
Henryetta, OK 74437-1269
Other names (DBA / former)
- Doing business as
- Hillcrest Hospital Henryetta
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2014-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.