Organization Active NPI

Ahs Claremore Regional Hospital, LLC.

Doing business as Hillcrest Hospital Claremore

  • General Acute Care Hospital
  • Claremore, OK
National Provider Identifier
1023398807
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2192 Issued in OK
Legal business name
AHS CLAREMORE REGIONAL HOSPITAL, LLC.
Doing business as
Hillcrest Hospital Claremore
Practice address
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone
(918) 341-2556
Fax
(918) 342-3330
NPI assigned
Aug 24, 2011
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen C. Petrovich
Title
SVP, General Counsel
Phone
(615) 296-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2192 OK Primary

Addresses

Primary practice location

1202 N Muskogee PL
Claremore, OK 74017-3058

Mailing address

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

Other names 1

  • Hillcrest Hospital Claremore Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111201000748 OK Part A Provider - Hospital 4284809278 Practice locations: Claremore, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023398807. Details of each certification follow.

Hospital certification: CCN 370039

Legal name
AHS CLAREMORE REGIONAL HOSPITAL LLC
Doing business as
HILLCREST HOSPITAL CLAREMORE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 2, 2025
Beds
49
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 1, 2011 (2 total)
Organization structure
LLCProprietary
Incorporated
Feb 6, 2009 in DE
Enrollment address
1202 N Muskogee PL
Claremore, OK 74017-3058
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hillcrest Hospital ClaremoreCCN 370039 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ahs Claremore Regional Hospital LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Networks

  • devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ardent Health Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Aug 4, 2015 100%
Kevin Gross Individual Corporate Director Sep 1, 2011
W-2 Managing EmployeeCeo Sep 1, 2021 100%
Ahs Oklahoma, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 19, 2020
Ahs Hillcrest Healthcare System LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Aug 4, 2015 100%
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Sep 1, 2021
Corporate Director Sep 1, 2011
Ahs Management Company Inc. Organization, Brentwood, TN Corporation Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate Director Sep 1, 2011
Ardent Legacy Holdings LLC Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Aug 4, 2015 100%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%

Facilities with the same owner 61

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 61

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

Affiliated clinicians 280

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 280

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1023398807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N MUSKOGEE PL",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173058",
            "telephone_number": "918-341-2556",
            "fax_number": "918-342-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N MUSKOGEE PL",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173058",
            "telephone_number": "918-341-2556",
            "fax_number": "918-342-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS CLAREMORE REGIONAL HOSPITAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Hospital Claremore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.