OrganizationActive
Specialty Hospital, LLC
NPI 1962900472 · Special Hospital · Tyler, TX
Provider details
- NPI number
- 1962900472
- Entity type
- Organization
- Primary specialty
- Special HospitalHospitals
- Parent organization
- Ahs East Texas Health System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp(615) 296-3000
Specialties & taxonomies
Hospitals
Practice location
1000 S Beckham Ave Fl 5
Tyler, TX 75701-1908
Phone: (903) 596-3600
Approximate (ZIP-level) locationGet directions
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2023-10-01
- Certified
- 2023-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.