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UTICA PARK CLINIC FAMILY CARE
NPI 1871008722
Clinic/Center - Rural Health in Henryetta, OK

Active since December 13, 2017
2403 W MAIN ST, HENRYETTA, OK 74437(918) 652-6950(918) 652-7827 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2019, Nov 7, 2018, Jul 27, 2018 and 2 more (5 updates tracked since 2017).

About Utica Park Clinic Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UTICA PARK CLINIC FAMILY CARE (NPI 1871008722) is a healthcare organization registered as a rural health in Henryetta, Oklahoma and active in the NPI registry since December 2017. The organization lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1871008722
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAHS HENRYETTA HOSPITAL LLC
Location Address2403 W MAIN STHenryetta, OK 74437
Mailing Address2401 W Main StHenryetta, OK 74437-3893 · (918) 652-6950 · Fax (918) 652-7827
Phone(918) 652-6950
Fax(918) 652-7827
Organization SubpartYesParent: Ahs Hillcrest Healthcare System, Llc
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateDecember 13, 2017
Last NPPES UpdateJune 4, 20195 updates tracked since enumeration
✔ NPI 1871008722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
2403 W MAIN ST, Henryetta, OK 74437
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Other Names 1

Doing Business AsUtica Park Clinic Family Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE A RUCQUOY APRN
Nurse Practitioner
2403 W MAIN ST
HENRYETTA, OK 74437
Okmulgee County (918) 652-9650
DR. RUSSELL KYLE BROWN DO
Internal Medicine
2403 W MAIN ST
HENRYETTA, OK 74437
Okmulgee County (918) 526-4463
MRS. CRYSTAL DAWN PELLEY MS, RD, CDCES, LD
Dietitian, Registered
2403 W MAIN ST
HENRYETTA, OK 74437
Okmulgee County (918) 218-7505
PAVAN BRAR MD
Hospitalist
2403 W MAIN ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-1100

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 1871008722. It was assigned to this organization in the NPPES registry on December 13, 2017. The provider is doing business as Utica Park Clinic Family Care.

Where is Ahs Henryetta Hospital LLC located?

Ahs Henryetta Hospital LLC is located at 2403 W Main St, Henryetta, OK 74437. The listed phone number is (918) 652-6950.

What is Ahs Henryetta Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Ahs Henryetta Hospital LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 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 June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.