Organization Active NPI

Ahs Cushing Hospital LLC

Doing business as Hillcrest Hospital Cushing

  • Medicare Defined Swing Bed Hospital Unit
  • Cushing, OK
National Provider Identifier
1467523894
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2266 Issued in OK
Legal business name
AHS CUSHING HOSPITAL LLC
Doing business as
Hillcrest Hospital Cushing
Practice address
1027 E Cherry St
Cushing, OK 74023-4101
Phone
(918) 225-2915
Fax
(918) 225-2517
NPI assigned
Nov 9, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2266 OK Primary

Addresses

Primary practice location

1027 E Cherry St
Cushing, OK 74023-4101

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200044190AMedicaidOK

Other names 1

  • Hillcrest Hospital Cushing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000572 OK Part A Provider - Hospital 7315911898 Practice locations: Cushing, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467523894. Details of each certification follow.

Hospital certification: CCN 37U099

Legal name
AHS CUSHING HOSPITAL LLC
Doing business as
HILLCREST HOSPITAL CUSHING
Organization structure
LLCProprietary
Incorporated
Apr 20, 2004 in DE
Enrollment address
1027 E Cherry St
Cushing, OK 74023-4101
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Ahs Cushing Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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%
Jeffrey a Johnston Individual W-2 Managing EmployeeAd; Dec 1, 2025 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 Feb 6, 2009 100%
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Sep 1, 2021
Corporate Director Apr 20, 2004
Ahs Management Company Inc. Organization, Nashville, TN Corporation, Chain home office Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate OfficerEvp General Counsel Apr 20, 2004
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1467523894",
    "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",
            "fax_number": "918-225-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E CHERRY ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234101",
            "telephone_number": "918-225-2915",
            "fax_number": "918-225-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS CUSHING HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Hospital Cushing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cushing, OK

Sources for this page

Verify at the official NPI Registry.