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Organization
AHS HENRYETTA HOSPITAL LLC
Active
Organization
AHS HENRYETTA HOSPITAL LLC
Active
Other names
Hillcrest Hospital Henryetta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN C. PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
DEWEY BARTLETT & MAIN, HENRYETTA, OK 74437-1269
(918) 579-7545
(918) 579-5570
Mailing address
PO BOX 1269, DEWEY, BARTLETT, MAIN, HENRYETTA, OK 74437-1269
(918) 579-7545
(918) 579-5570
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2222
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045700C
—
OK
Enumeration date
02/23/2006
Last updated
02/19/2014
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