Ahs Claremore Regional Hospital, LLC.

Organization Active NPI General Acute Care Hospital · Claremore, OK

NPI 1023398807 · NPPES record last updated Jun 14, 2013

Key facts

NPI
1023398807
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
2192 (OK)
Legal business name
AHS CLAREMORE REGIONAL HOSPITAL, LLC.
Practice address
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone
(918) 341-2556
Fax
(918) 342-3330
NPI assigned
Aug 24, 2011
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 5

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

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

Facilities with the same owner 61

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

View all 61

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 93

Affiliated clinicians 280

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

View all 280

Medicare Care Compare: Hospital

Listed as
Hillcrest Hospital Claremore CCN 370039
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

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
LLC · Proprietary
Incorporated
Feb 6, 2009 in DE
Enrollment address
1202 N Muskogee PL
Claremore, OK 74017-3058
Other Hospital Practice Location
Hospital subgroups
Acute care

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 Employee
Ceo
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 Officer
Ceo-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 Officer
SVP 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%

Medicare enrollment records

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

National Provider Directory

Tax ID family
Ahs Claremore Regional Hospital LLC (6 organizations share this tax ID)

Locations

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

Networks

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

Specialties & licenses

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

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

  • Hillcrest Hospital Claremore Doing business as

Other providers in Claremore, OK

All providers in Claremore, OK · General Acute Care Hospital in Oklahoma

Sources for this page

Verify at the official NPI Registry.