Active NPI
Ahs Hillcrest Medical Center LLC
Doing business as Hillcrest Medical Center
- Rehabilitation Hospital Unit
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 2264
- 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
- Nov 3, 2006
- Last updated
- Dec 2, 2011
- 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
- SVP
- Phone
- (615) 296-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 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 names 1
- Hillcrest Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080613000534 | OK | Part A Provider - Hospital | 7618922972 | Practice locations: Tulsa, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679652192. Details of each certification follow.
Hospital certification: CCN 37T001
- Legal name
- AHS HILLCREST MEDICAL CENTER, LLC
- Doing business as
- HILLCREST MEDICAL CENTER
- Organization structure
- LLC
- Incorporated
- Apr 20, 2004 in DE
- Enrollment address
- 1120 S Utica Ave
Tulsa, OK 74104-4012 - Hospital subgroups
- Rehabilitation, Rehabilitation unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
Unit of hospital
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
7618922972
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Hillcrest Kaiser Rehabilitation Center
- Ownership
- For profit
- Certified
- Jun 30, 2006
National Provider Directory
National Provider Directory- Tax ID family
- Ahs Hillcrest Medical Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hillcrest Medical Center
- Registered Dietitian
- Tulsa, OK
- NPI 1730387952
Locations
Dept 1230
Tulsa, OK 74182
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ardent Health Inc | 5% Or Greater Indirect Ownership Interest | Aug 4, 2015 | 100% |
| Kevin Gross | Corporate Director | Jan 1, 2023 | 100% |
| W-2 Managing Employee | Jan 1, 2023 | 100% | |
| Ahs Oklahoma, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| Ahs Hillcrest Healthcare System LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2009 | |
| Mary a Crabtree | Corporate Officer | Aug 1, 2004 | |
| Ahs Management Company Inc. | Operational/Managerial Control | Jan 1, 2019 | 100% |
| Stephen C Petrovich | Corporate Director | Aug 1, 2004 | |
| Ardent Legacy Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 4, 2015 | 100% |
| Ahp Health Partners, Inc | 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.
-
- 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
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1316579642
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings 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
-
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
-
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
-
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
-
- 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
-
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
-
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
-
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
-
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
-
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
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1700465028
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1316960909
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1225394653
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1700465028
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1225394653
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1376715664
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1679652192",
"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": "2006-11-03",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "PETROVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "615-296-3000"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "OK",
"license": "2264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillcrest Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tulsa, OK
- Noor Ahmed, DO
- Onan Ahmed
- Sana Ahmed
- Yasir Ahmed, M.D.
- Ahs Hillcrest Medical Center LLC (Hillcrest Medical Center)
- Ahs Hillcrest Medical Center LLC (Hillcrest Medical Center)
- Ahs Hillcrest Medical Center, LLC (Hillcrest Medical Center)
- Ahs Oklahoma Heart LLC (Oklahoma Heart Institute)
- Ahs Oklahoma Physician Group LLC (Utica Park Clinic)
- Ahs Oklahoma Physicians Group L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.