Active NPI
Athens Hospital, LLC
- General Acute Care Hospital
- Athens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- ATHENS HOSPITAL, LLC
- Practice address
- 2000 S Palestine St
Athens, TX 75751-5610 - Phone
- (903) 676-5580
- Fax
- (903) 676-5589
- NPI assigned
- Jan 19, 2018
- Last updated
- Jan 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C Petrovich
- Title
- Evp and Secretary
- Phone
- (615) 296-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | Primary |
Addresses
Primary practice location
2000 S Palestine St
Athens, TX 75751-5610
Mailing address
1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195
Phone (615) 296-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180427001068 | TX | Part A Provider - Hospital | 7315201324 | Practice locations: Tyler, TX; Gun Barrel City, TX; Athens, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417465824. Details of each certification follow.
Hospital certification: CCN 450389
- Legal name
- ATHENS HOSPITAL, LLC
- Doing business as
- UT HEALTH EAST TEXAS ATHENS HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 9, 2026
- Beds
- 127 (100 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Mar 1, 2018 (3 total)
- Organization structure
- LLC
- Incorporated
- Dec 19, 2017 in DE
- Enrollment address
- 2000 S Palestine St
Athens, TX 75751-5610 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- Ut Health East Texas Athens Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0659715 | Athens Hospital, LLC | Accreditation | Jan 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
115 Medical Cir
Ste 108
Athens, TX 75751
Phone (903) 670-3185
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ardent Health Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 100% |
| Ahs Texas, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| Martin Bonick | Corporate Officer | Aug 19, 2020 | |
| Mary a Crabtree | Corporate Officer | Mar 1, 2018 | |
| Ahs Management Company Inc. | Operational/Managerial Control | Mar 1, 2018 | |
| Stephen C Petrovich | Corporate Officer | Mar 1, 2018 | |
| Ardent Legacy Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 100% |
| Ahs East Texas Health System, LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2018 | 100% |
| Donald Baker | Corporate Officer | Dec 1, 2019 | 100% |
| W-2 Managing Employee | Jan 1, 2021 | ||
| Ahp Health Partners, Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 100% |
Facilities with the same owner 61
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rehabilitation Hospital Unit
- Amarillo, TX
- NPI 1730425190
Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Carthage, TX
- NPI 1407355860
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- General Acute Care Hospital
- Carthage, TX
- NPI 1538667035
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Carthage, TX
- NPI 1639678030
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Rehabilitation Hospital of Amarillo
- Rehabilitation Hospital
- Amarillo, TX
- NPI 1487443099
Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Gun Barrel City, TX
- NPI 1689241945
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba BSA Hospice of the Southwest
- Community Based Hospice Care Agency
- Amarillo, TX
- NPI 1467447854
Ardent Legacy Holdings LLC
-
dba UTHealth East Texas Henderson Hospital
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Henderson, TX
- NPI 1952800310
Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Seton Medical Center Harker Heights
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC
Practitioners & affiliated clinicians
Practitioners 26
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.
-
- Obstetrics & Gynecology Physician
- Athens, TX
- NPI 1831194836
-
- Family Medicine Physician
- Athens, TX
- NPI 1437507514
-
- Internal Medicine Physician
- Athens, TX
- NPI 1912352675
-
- Family Medicine Physician
- Athens, TX
- NPI 1801479944
-
- Family Medicine Physician
- Athens, TX
- NPI 1932104932
-
- Family Medicine Physician
- Athens, TX
- NPI 1730409939
-
- Physician Assistant
- Gun Barrel City, TX
- NPI 1962910828
-
- Family Medicine Physician
- Athens, TX
- NPI 1720097298
-
- Obstetrics & Gynecology Physician
- Tyler, TX
- NPI 1063623700
-
- Family Medicine Physician
- Athens, TX
- NPI 1790216224
-
- Physician Assistant
- Gun Barrel City, TX
- NPI 1144588872
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1629569041
Affiliated clinicians 348
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tyler, TX
- NPI 1003887407
Hospital
-
- Acute Care Nurse Practitioner
- Tyler, TX
- NPI 1619442282
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516320000000",
"number": "1417465824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BURTON HILLS BLVD STE 250",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156195",
"telephone_number": "615-296-3000",
"fax_number": "615-296-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757515610",
"telephone_number": "903-676-5580",
"fax_number": "903-676-5589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A",
"authorized_official_last_name": "PETROVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EVP AND SECRETARY",
"authorized_official_telephone_number": "615-296-3000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
- Athens Foot and Ankle Health and Surgery, PC (D. Matthew Allen, D.P.M.)
- Athens Foot and Ankle Health and Surgery, PC
- Athens Gastroenterology PA
- Athens Hearing Center LLC
- Athens Helping Hands Inc (Bethany Place)
- Athens Independent School District
- Athens Integrative Wellness Center
- Athens Orthopedic and Physical Therapy Center PA
- Athens Spine Center, LLC
- Athens Surgical Assoc., P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.