NPIMap

Organization Active NPI

Quitman Hospital LLC

  • Critical Access Hospital
  • Quitman, TX
National Provider Identifier
1477061885
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
QUITMAN HOSPITAL LLC
Practice address
117 N Winnsboro St
Quitman, TX 75783-2144
Phone
(903) 763-6300
NPI assigned
Jan 19, 2018
Last updated
Oct 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AHS EAST TEXAS HEALTH SYSTEM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

117 N Winnsboro St
Quitman, TX 75783-2144

Mailing address

340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Phone (615) 296-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180517000264 TX Part B Supplier - Clinic/Group Practice 9133484330 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineola, TX; Winnsboro, TX; Quitman, TX
O20180518000098 TX Part A Provider - Critical Access Hospital 9133484330 Practice locations: Quitman, TX
O20180813001620 TX Part A Provider - Critical Access Hospital 9133484330 Practice locations: Quitman, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1477061885. Details of each certification follow.

Hospital certification: CCN 451380

Legal name
QUITMAN HOSPITAL LLC
Doing business as
UTHEALTH EAST TEXAS QUITMAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2011
Last certification
Dec 31, 2025
Beds
25
Ownership / control type
Other
Most recent change of ownership
Mar 1, 2018 (2 total)
Organization structure
LLCProprietary
Incorporated
Dec 19, 2017 in DE
Enrollment address
117 N Winnsboro St
Quitman, TX 75783-2144
Other Hospital Practice Location

Hospital certification: CCN 45Z380

Legal name
QUITMAN HOSPITAL LLC
Doing business as
UT HEALTH EAST TEXAS QUITMAN HOSPITAL
Organization structure
LLCProprietary
Incorporated
Dec 19, 2017 in DE
Enrollment address
117 N Winnsboro St
Quitman, TX 75783-2144
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ut Health East Texas Quitman HospitalCCN 451380 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Quitman Hospital LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 15

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 Mar 1, 2018 100%
Ahs Texas, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 19, 2020
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Mar 1, 2018
Corporate OfficerSVP and Treasurer Mar 1, 2018
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Mar 1, 2018
Stephen C Petrovich Individual Corporate Officer Mar 1, 2018
Corporate OfficerEvp and Secretary Mar 1, 2018
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2018 100%
Ahs East Texas Health System, LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Mar 1, 2018 100%
Donald Baker Individual Corporate OfficerCfo Nov 1, 2020 100%
W-2 Managing EmployeeCfo Nov 1, 2020 100%
Corporate OfficerCfo Sep 1, 2020 100%
W-2 Managing EmployeeCfo Sep 1, 2020 100%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2018 100%
Brian Walton Individual Corporate OfficerSVP Mar 1, 2018
Carolyn Schneider Individual Corporate OfficerChief Human Resources Officer Aug 1, 2021
Terika Richardson Mbanu Individual Corporate OfficerChief Operations Officer Sep 1, 2021
James Grimes Individual Corporate OfficerSVP Assistant Treasurer Sep 1, 2021
Alfred Lumsdaine Individual Corporate OfficerChief Financial Officer Sep 1, 2021

Facilities with the same owner 61

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

  • Athens Hospital, LLC
    • General Acute Care Hospital
    • Athens, TX
    • NPI 1417465824

    Ahp Health Partners, Inc, Ahs East Texas Health System, LLC, Ahs Management Company Inc., Ahs Texas, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Bsa Hospital LLC
    • General Acute Care Hospital
    • Amarillo, TX
    • NPI 1407191984

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Bsa Hospital LLC
    • Rehabilitation Hospital Unit
    • Amarillo, TX
    • NPI 1730425190

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Carthage Hospital, 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

    CMS ownership
  • Carthage Hospital, 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

    CMS ownership
  • Carthage Hospital, 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

    CMS ownership
  • Encompass Health Rehabilitation Hospital of Amarillo, LLC

    dba Rehabilitation Hospital of Amarillo

    • Rehabilitation Hospital
    • Amarillo, TX
    • NPI 1487443099

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Etmc Physician Group Inc.
    • 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

    CMS ownership
  • Etmc Physician Group Inc.
    • 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

    CMS ownership
  • FMC - Lubbock LLC

    dba BSA Hospice of the Southwest

    • Community Based Hospice Care Agency
    • Amarillo, TX
    • NPI 1467447854

    Ardent Legacy Holdings LLC

    CMS ownership
  • Henderson Hospital, 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

    CMS ownership
  • Henderson Hospital, 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

    CMS ownership
View all 61

Practitioners & affiliated clinicians

Practitioners 18

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 18

Affiliated clinicians 73

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

View all 73

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": "1696118400000",
    "number": "1477061885",
    "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": "615-296-3000",
            "fax_number": "615-296-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WINNSBORO ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757832144",
            "telephone_number": "903-763-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHS EAST TEXAS HEALTH SYSTEM, LLC",
        "enumeration_date": "2018-01-19",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, TX

Sources for this page

Verify at the official NPI Registry.