AHS PRYOR HOSPITAL, LLC (NPI# 1780125005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780125005 |
| Entity Type | Organization |
| Organization Name | AHS PRYOR HOSPITAL, LLC |
| Other Organization Name | HILLCREST HOSPITAL PRYOR |
| Practice Address |
111 N Bailey St Pryor OK 74361-4201 |
| Mailing Address |
1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 |
| Practice Telephone | 9188241191 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | STEPHEN C PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARDENTH HEALTH PARTNERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Hillcrest Hospital Pryor | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Ne 1st St, Pryor, OK 743618850 | 9188251600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1134632037 | Ahs Pryor Hospital, LLC | Clinic/Center | 562 S Elliott St, Pryor, OK 74361 | 2017-11-14 |
| 1003347279 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2017-03-21 |
| Street Address |
111 N BAILEY ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987712 | Dawn M Lovins | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2005-10-24 |
| 1053967083 | Sean Darrieus Grissett | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-15 |
| 1942856042 | Daniel Stockton | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-14 |
| 1841724473 | Scarbow Lake Emergency Physicians LLC | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-04-20 |
| 1902140718 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-11-16 |
| 1861748576 | Mayes County Hmpn, LLC | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-07-31 |
| 1922338425 | David Matthew White | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2010-01-05 |
| 1013147248 | Saran Desiree Oliver | Internal Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2009-07-22 |
| 1841460714 | Annette Clair Mills | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-03-07 |
| 1134307044 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922551779 | Malissa Calhoon | General Acute Care Hospital | 1004 Se 1st St, Pryor, OK 74361-4801 | 2016-07-28 |
| 1003347279 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101202 | Tulsa Er & Hospital LLC | General Acute Care Hospital | 717 W. 71st Street, Tulsa, OK 74132-7413 | 2019-02-27 |
| 1821565961 | Oklahoma Er Hospital, LLC | General Acute Care Hospital | 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 | 2018-10-26 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
| 1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
| 1093160186 | Precision Surgical Assistants | General Acute Care Hospital | 7509 W 34th Pl, Tulsa, OK 74107-4507 | 2016-04-26 |
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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.