Organization Active NPI

Ahs Hillcrest Medical Center, LLC

Doing business as Hillcrest Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
National Provider Identifier
1629057229
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2264 Issued in OK
Legal business name
AHS HILLCREST MEDICAL CENTER, LLC
Doing business as
Hillcrest Medical Center
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(918) 579-1000
Fax
(918) 579-7599
NPI assigned
Jan 11, 2006
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Steve Dobbs
Title
Ceo
Phone
(918) 579-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2264 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-1000

Other identifiers 2

IdentifierTypeStateIssuer
000370001001OtherOKBC/BS OF OKLAHOMA
200044210AMedicaidOK

Other names 1

  • Hillcrest Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000801 OK Part A Provider - Hospital 7618922972 Practice locations: Broken Arrow, OK; Sand Springs, OK; Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629057229. Details of each certification follow.

Hospital certification: CCN 370001

Legal name
AHS HILLCREST MEDICAL CENTER, LLC
Doing business as
HILLCREST MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 10, 2022
Beds
620
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 12, 2004 (1 total)
Organization structure
LLCProprietary
Incorporated
Apr 20, 2004 in DE
Enrollment address
1120 S Utica Ave
Tulsa, OK 74104-4012
Main/Primary Hospital Location
Hospital subgroups
General

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hillcrest Medical CenterCCN 370001 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2617 S Elm Pl
Ste 2
Broken Arrow, OK 74012
Phone (918) 449-3090

2617 S Elm Pl
Ste 201
Broken Arrow, OK 74012
Phone (918) 449-3080

1125 S Trenton Ave
Tulsa, OK 74120
Phone (918) 579-7100

1145 S Utica Ave
#1113
Tulsa, OK 74104
Phone (918) 587-2104

1145 S Utica Ave
Ste 1000
Tulsa, OK 74104
Phone (918) 487-2104

1245 S Utica Ave
Ste 101
Tulsa, OK 74104
Phone (855) 750-2273

1265 S Utica Ave
Fl 2
Tulsa, OK 74104

1265 S Utica Ave
Ste 100
Tulsa, OK 74104
Phone (918) 579-3314

1265 S Utica Ave
Ste G10
Tulsa, OK 74104
Phone (918) 579-5870

2211 E 21st St
Tulsa, OK 74114
Phone (918) 744-7345

4444 E 41st St
Ste 1800
Tulsa, OK 74135
Phone (918) 619-4960

8210 S Harvard Ave
Ste B
Tulsa, OK 74137
Phone (918) 492-0761

8802 E 71st St
Ste C
Tulsa, OK 74133
Phone (918) 505-6940

9228 S Mingo Rd
Ste 104
Tulsa, OK 74133

9228 S Mingo Rd
Ste 105
Tulsa, OK 74133
Phone (918) 878-2476

9228 S Mingo Rd
Ste 106
Tulsa, OK 74133
Phone (918) 878-2476

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 Jul 1, 2019 100%
Jeffrey a Johnston Individual W-2 Managing EmployeeAd; Sep 1, 2025 100%
Ahs Oklahoma, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2019 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 19, 2020
Ahs Hillcrest Healthcare System LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2009
Mary a Crabtree Individual Corporate Officer Aug 1, 2004
Ahs Management Company Inc. Organization, Brentwood, TN Corporation Operational/Managerial Control Jul 1, 2019 100%
Stephen C Petrovich Individual Corporate DirectorEvp General Counsel Aug 1, 2004
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%

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

Practitioners 282

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 282

Affiliated clinicians 801

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

View all 801

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1629057229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-1000",
            "fax_number": "918-579-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-1000",
            "fax_number": "918-579-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS HILLCREST MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-579-1000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF OKLAHOMA",
            "identifier": "000370001001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.