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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