AHS HENRYETTA HOSPITAL LLC
NPI 1720053556
General Acute Care Hospital in Henryetta, OK
About Ahs Henryetta Hospital Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHS HENRYETTA HOSPITAL LLC (NPI 1720053556), doing business as Hillcrest Hospital Henryetta, is a healthcare organization registered as a general acute care hospital in Henryetta, Oklahoma and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through January 20, 2028 and lists Stephen C. Petrovich, Svp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ahs Henryetta Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Ahs Henryetta Hospital LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 37D0475204
Hillcrest Hospital Henryetta · Henryetta, OKHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Hillcrest Hospital Henryetta (CMS certification number 370183), from CMS Care Compare.
Hillcrest Hospital Henryetta
Acute Care Hospitals · Henryetta, OKComplications & Deaths 15
Unplanned Hospital Visits 11
Timely & Effective Care 11
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ahs Henryetta Hospital LLC's NPI number?
The NPI number for Ahs Henryetta Hospital LLC is 1720053556. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Hillcrest Hospital Henryetta.
Where is Ahs Henryetta Hospital LLC located?
Ahs Henryetta Hospital LLC is located at 2401 W Main St, Henryetta, OK 74437. The listed phone number is (918) 579-7545.
What is Ahs Henryetta Hospital LLC's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Ahs Henryetta Hospital LLC enrolled in Medicare?
Yes. Ahs Henryetta Hospital LLC is registered in the Medicare PECOS enrollment system.
When is Ahs Henryetta Hospital LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Ahs Henryetta Hospital LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Part A, Oklahoma, Hospital). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ahs Henryetta Hospital LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Ahs Henryetta Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (2) and General Surgery (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ahs Henryetta Hospital LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 37D0475204) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Ahs Henryetta Hospital LLC a Medicare-certified hospital?
Yes. Hillcrest Hospital Henryetta is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.
What insurance does Ahs Henryetta Hospital LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ahs Henryetta Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ahs Henryetta Hospital LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ahs Henryetta Hospital Llc · NPI 1720053556
General Acute Care Hospital organization in Henryetta, Oklahoma. Organization record, active in the CMS NPPES registry since February 23, 2006.
## Identity
- **NPI:** 1720053556 (Entity type: Organization)
- **Enumerated:** February 23, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Also known as:** Hillcrest Hospital Henryetta (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephen Petrovich, SVP
## Practice location
- **Address:** 2401 W MAIN ST, Henryetta, OK 74437-3893
- **Phone:** (918) 579-7545 · **Fax:** (918) 579-5570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Oklahoma, Hospital), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), General Surgery (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
- **Other identifiers:** Medicaid 200045700C (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720053556) · Data from the CMS NPPES public registry.