Ahs Cushing Hospital LLC
Organization Active NPI General Acute Care Hospital · Cushing, OK
NPI 1801867643 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1801867643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2266 (OK)
- Legal business name
- AHS CUSHING HOSPITAL LLC
- Practice address
- 1027 E Cherry St
Cushing, OK 74023-4101 - Phone
- (918) 225-2915
- Fax
- (918) 225-2517
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Evp, General Counsel
- Phone
- (615) 296-3594
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Facilities with the same owner 61
Practitioners 36
-
Daniel Ray Asher, MD
-
Travis Dean Burkett, DDS
-
Kevin David Dare, D.O.
-
Mathew Good, DO
-
Jennifer Joy Griffin, D.D.S.
-
Jaime Lyn Griffith, APRN-CFP
-
Melissa Ann Haught, D.O.
-
Timothy David Herrington, M.D.
-
Jason Charles Joice, M.D.
-
Nathan Klammer, MD
-
Daniel S McNair, DDS
-
Peggy Moore-Gardner, APRN
-
Halie Muckelrath, DO, MS
Affiliated clinicians 110
-
Blake L Anderson, MD PHD
-
Daniel Ray Asher, MD
-
Amir Ashiq, MD
-
Eric G Auerbach, M.D.
-
Caleb Barker, PA-C
-
Bruce Earl Baugher, D.O.
-
Douglas Brant Jr., D.O.
-
Zachary Stanley Canaday, D.O.
-
George J Carstens III, M.D.
-
Erin Chonka, DO
-
Ankit K Chothani, M.B.;B.S.
-
Steven W. Cummings, M.D.
-
Kevin David Dare, D.O.
-
Nandini Asnani Dhameja, PA-C
-
Courtney Gail Elliot, ARNP
-
Deven Elliott, APRN-CNP
Medicare Care Compare: Hospital
- Listed as
- Hillcrest Hospital Cushing
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospital certification: CCN 370099
- Legal name
- AHS CUSHING HOSPITAL LLC
- Doing business as
- HILLCREST HOSPITAL CUSHING
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 22, 2025
- Beds
- 99
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 1, 2004 (3 total)
- Organization structure
- LLC · Non-profit
- Incorporated
- Apr 20, 2004 in DE
- Enrollment address
- 1027 E Cherry St
Cushing, OK 74023-4101 - Hospital subgroups
- General
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Ardent Health Inc |
5% Or Greater Indirect Ownership Interest | Aug 4, 2015 | 100% |
| Kevin Gross |
Corporate Officer |
Jun 1, 2014 | |
| W-2 Managing Employee |
Sep 1, 2021 | 100% | |
| Ahs Oklahoma, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| Martin Bonick |
Corporate Officer |
Aug 19, 2020 | |
| Ahs Hillcrest Healthcare System LLC |
5% Or Greater Direct Ownership Interest | Feb 6, 2009 | 100% |
| Mary a Crabtree |
Corporate Officer |
Sep 1, 2021 | |
| Corporate Director | Apr 20, 2004 | ||
| Ahs Management Company Inc. |
Operational/Managerial Control | Jan 1, 2019 | 100% |
| Stephen C Petrovich |
Corporate Officer | Apr 20, 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000852 | OK | Part a Provider - Hospital | 7315911898 | Practice locations: Cushing, OK |
National Provider Directory
- Tax ID family
- Ahs Cushing Hospital LLC
Locations
2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2266 | OK | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200044190A | Medicaid | OK |
Other names
- Cushing Regional Hospital
Other providers in Cushing, OK
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All providers in Cushing, OK · General Acute Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.