AHS HILLCREST MEDICAL CENTER LLC (NPI# 1689837528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689837528 |
| Entity Type | Organization |
| Organization Name | AHS HILLCREST MEDICAL CENTER LLC |
| Other Organization Name | HILLCREST MEDICAL CENTER |
| Practice Address |
744 W 9th St Tulsa OK 74127-9020 |
| Mailing Address |
1120 S Utica Ave Tulsa OK 74101-4090 |
| Practice Telephone | 9185791000 |
| Mailing Telephone | 9185791000 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | MR. STEVE DOBBS (CEO) |
| Authorized Official Telephone | 9185791000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200044210D | 05 |
| Other Name | Type Code |
|---|---|
| Hillcrest Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337599 | Ahs Hillcrest Medical Center LLC | Counselor | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2016-03-04 |
| 1619130663 | Ahs Hillcrest Medical Center LLC | Psychiatric Residential Treatment Facility | 744 W 9th St, Tulsa, OK 74127-9020 | 2008-07-09 |
| 1386807238 | Ahs Hillcrest Medical Center LLC | Residential Treatment Facility, Emotionally Disturbed Children | 744 W 9th St, Tulsa, OK 74127-9020 | 2008-07-09 |
| 1730387952 | Ahs Hillcrest Medical Center LLC | Dietitian, Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2007-07-10 |
| 1679652192 | Ahs Hillcrest Medical Center LLC | Rehabilitation Unit | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2006-11-03 |
| Street Address |
744 W 9TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914456 | Judith Wolfstein | Specialist | 744 W 9th St, Tulsa, OK 74127-9020 | 2005-06-30 |
| 1053924118 | Zachary Dunn | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-08-28 |
| 1104449370 | Laura Ann Holliday | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-22 |
| 1033732623 | Ashlyn Renee Terrell | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-18 |
| 1366061780 | Joshua M Day | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-15 |
| 1639798150 | Nathan Nelson | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1801415328 | Jake Xavier Checketts | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1780203505 | Coy Yasler | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-11 |
| 1548889553 | Lacy Shireen Brame | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-09 |
| 1659900421 | Heath Spencer | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593344 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2504 E 71st St Ste A, Tulsa, OK 74136-5504 | 2019-11-26 |
| 1275083867 | Oklahoma Families First, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2526 E 71st St, Ste A, Tulsa, OK 74136-5538 | 2016-10-07 |
| 1386807238 | Ahs Hillcrest Medical Center LLC | Residential Treatment Facility, Emotionally Disturbed Children | 744 W 9th St, Tulsa, OK 74127-9020 | 2008-07-09 |
| 1962572081 | Ahs Tulsa Regional Medical Center LLC | Residential Treatment Facility, Emotionally Disturbed Children | 744 W 9th St, Tulsa, OK 74127-9020 | 2006-11-08 |
| 1821105263 | Shadow Mountain Behavioral Health System, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6125 S Sheridan Rd, Suite D, Tulsa, OK 74133-4056 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316228414 | Briggs Therapeutic Intensive Child Devopment Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 425 S Fretz Ave Ste E, Edmond, OK 73003-5568 | 2011-09-01 |
| 1881872166 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | One Mile West of Highway 69 On Highway 9 (south Side), Eufaula, OK 74432 | 2008-02-08 |
| 1790963445 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 Sw B Ave, #3, Lawton, OK 73501-3962 | 2008-02-05 |
| 1730203951 | Red Rock Behavorial Health Services | Residential Treatment Facility, Emotionally Disturbed Children | 4404 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2007-03-16 |
| 1164590790 | Cimarron Valley Therapeutic Service, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1005 9th St, Woodward, OK 73801-3131 | 2006-12-01 |
| 1437251576 | Oklahoma Families First Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2006-09-01 |
| 1841304250 | Shadow Mountain Behavioral Health System, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2801 Venture Dr, Norman, OK 73069-8215 | 2006-08-19 |
| 1134765068 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1301 Kiowa St, Ardmore, OK 73401-2280 | 2019-11-26 |
| 1649816802 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2019-11-22 |
| 1265982854 | Oklahoma Families First, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2016-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.