NPIMap

Organization Active NPI

Ahs Claremore Regional Hospital, LLC

  • Rural Health Clinic/Center
  • Claremore, OK
National Provider Identifier
1316579642
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AHS CLAREMORE REGIONAL HOSPITAL, LLC
Practice address
1501 N Florence Ave Ste 101, 201, 250 & 300
Claremore, OK 74017-3179
Phone
(918) 342-3633
NPI assigned
Feb 5, 2020
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHS HILLCREST HEALTHCARE SYSTEM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Stephen C. Petrovich
Title
Evp, General Counsel
Phone
(615) 296-3594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1501 N Florence Ave Ste 101, 201, 250 & 300
Claremore, OK 74017-3179

Mailing address

340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Phone (615) 296-3594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200219002639 OK Part A Provider - Rural Health Clinic 4284809278 Practice locations: Claremore, OK
O20200505000194 OK Part B Supplier - Clinic/Group Practice 4284809278 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
Practice locations: Claremore, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316579642. Details of each certification follow.

Rural health clinic certification: CCN 378538

Legal name
AHS CLAREMORE REGIONAL HOSPITAL LLC
Doing business as
UTICA PARK CLAREMORE PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 15, 2020
Last certification
Jul 15, 2020
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1501 N Florence Ave
Ste 101, 201, 250 & 300
Claremore, OK 74017-3179
Related CCNs
370039

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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2004123Utica Park Claremore Primary Care1501 North Florence Avenue, Suite 101, Claremore, OK 74017Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

1501 N Florence Ave
Ste 101300
Claremore, OK 74017
Phone (918) 579-3627

Ownership & related parties

All disclosed owners & managing parties 9

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 Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2025 100%
Jeffrey a Johnston Individual W-2 Managing EmployeeAd; Jul 1, 2025 100%
Ahs Oklahoma, LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Ahs Hillcrest Healthcare System LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Jan 1, 2019
Ahs Management Company Inc. Organization, Brentwood, TN Corporation, Chain home office Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate OfficerEvp, General Counsel Jan 1, 2019
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation, Owned by another organization or individual 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.

  • Ahs Claremore Regional Hospital LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1356974687

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC.

    dba Hillcrest Hospital Claremore

    • General Acute Care Hospital
    • Claremore, OK
    • NPI 1023398807

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Hillcrest Hospital Cushing

    • Medicare Defined Swing Bed Hospital Unit
    • Cushing, OK
    • NPI 1467523894

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Cushing Regional Hospital

    • General Acute Care Hospital
    • Cushing, OK
    • NPI 1801867643

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Primary Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1295232478

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC
    • Medicare Defined Swing Bed Hospital Unit
    • Henryetta, OK
    • NPI 1588733828

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Hillcrest Hospital Henryetta

    • General Acute Care Hospital
    • Henryetta, OK
    • NPI 1720053556

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Family Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1871008722

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Hillcrest Medical Center LLC

    dba Hillcrest Medical Center

    • Rehabilitation Hospital Unit
    • Tulsa, OK
    • NPI 1679652192

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Hillcrest Medical Center, LLC

    dba Hillcrest Medical Center

    • General Acute Care Hospital
    • Tulsa, OK
    • NPI 1629057229

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Oklahoma Physician Group, LLC

    dba Cushing Medical Specialist

    • Rural Health Clinic/Center
    • Cushing, OK
    • NPI 1922683051

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Pryor Hospital, LLC

    dba Utica Park Clinic Elliott

    • Rural Health Clinic/Center
    • Pryor, OK
    • NPI 1134632037

    Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
View all 61

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1316579642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SEVEN SPRINGS WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275697",
            "telephone_number": "615-296-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE AVE STE 101, 201, 250 & 300",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173179",
            "telephone_number": "918-342-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS CLAREMORE REGIONAL HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHS HILLCREST HEALTHCARE SYSTEM, LLC",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.