Organization · Type 2 NPI

Ahs Henryetta Hospital LLC

Rural Health Clinic/Center · Henryetta, OK

NPI number 1871008722 Active

Practice location

2403 W Main St
Henryetta, OK 74437

Call (918) 652-6950 Map

Fax (918) 652-7827

Mailing address

2401 W Main St
Henryetta, OK 74437-3893

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

Other rural health clinic/center providers in Henryetta

Ahs Henryetta Hospital LLCRural Health Clinic/Center Henryetta, OK NPI 1295232478

See all in Henryetta →

NPI record

NPI: 1871008722
Entity type: Organization (Type 2)
Issued: Dec 13, 2017
Last updated: Jun 4, 2019
Status: Active
Subpart: Yes of Ahs Hillcrest Healthcare System, LLC

Other names

<unavail>
Utica Park Clinic Family Care · doing business as

Authorized official

Stephen C. Petrovich
EVP
(615) 296-3000

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About NPI 1871008722

Ahs Henryetta Hospital LLC's National Provider Identifier is 1871008722, issued on Dec 13, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Henryetta, OK. The record was last updated on Jun 4, 2019.